Hunter, Ellen B

Hunter, Ellen B is an individual health care provider with primary practice located at 425 W Bannock St , Boise ID 83702-6035. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Hunter, Ellen B can be contacted via phone (208) 343-1702.

Contact Information

Primary practice address
425 W Bannock St Boise ID 83702-6035
Phone: (208) 343-1702
Fax: (208) 342-7042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X M-8163 Idaho

Profile Details

NPI number 1174518740
LBN Legal business name Hunter, Ellen B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Feb 15th, 2011 - about 13 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174518740 NPPES
Idaho Other 000010031134 BLUE SHIELD OF IDAHO
Idaho Other 40550 BLUE SHIELD OF IDAHO
Idaho MEDICAID 805933400 BLUE SHIELD OF IDAHO
Idaho Other 286220 BLUE SHIELD OF IDAHO
Idaho Other P00055513 BLUE SHIELD OF IDAHO

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