Heneghan, Rachel Elizabeth
Heneghan, Rachel Elizabeth is an sole proprietor health care provider with primary practice located at 333 N 1St St Ste 280 , Boise ID 83702-6132. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Heneghan, Rachel Elizabeth can be contacted via phone (208) 345-6545.Contact Information
Primary practice address
333 N 1St St Ste 280
Boise ID 83702-6132
Phone: (208) 345-6545
Fax: (208) 345-1213
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 63855 | Minnesota |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 01086105A | Indiana |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | M-17496 | Idaho |
Profile Details
NPI number | 1730448176 |
---|---|
LBN Legal business name | Heneghan, Rachel Elizabeth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 4th, 2012 |
Last updated | Jan 30th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730448176 | NPPES |
Idaho | MEDICAID | M-17496 | |
Idaho | MEDICAID | 300053478 |
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