Idaho Neurological Surgery, P.A.

LBN: Idaho Neurological Surgery, P.A.
Idaho Neurological Surgery, P.A. is an health care organization with primary practice located at 222 N. 2Nd Street Suite 307, Boise ID 83702-6131. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Idaho Neurological Surgery, P.A. can be contacted via phone (208) 344-1000, or through Smith, Douglas E. via phone (208) 344-1000.

Contact Information

Primary practice address
222 N. 2Nd Street Suite 307 Boise ID 83702-6131
Phone: (208) 344-1000
Fax: (208) 344-1331
Website:
Map and Directions
Authorized official contact:
Name: Smith, Douglas E. Doctor of Medicine (MD)
Phone: (208) 344-1000

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M-3522 Idaho

Profile Details

NPI number 1962691204
LBN Legal business name Idaho Neurological Surgery, P.A.
DBA Doing business as
Authorized official Smith, Douglas E. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2007
Last updated Oct 23rd, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962691204 NPPES
Idaho MEDICAID 002755500

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