Idun, Michael K
Idun, Michael K is an sole proprietor health care provider with primary practice located at 112 N 7Th St , Chambersburg PA 17201-1720. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Idun, Michael K can be contacted via phone (717) 267-7164.Contact Information
Primary practice address
112 N 7Th St
Chambersburg PA 17201-1720
Phone: (717) 267-7164
Fax: (717) 267-7414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MA08022800 | New Jersey |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD425631 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD425631 | Pennsylvania |
Profile Details
| NPI number | 1033186903 |
|---|---|
| LBN Legal business name | Idun, Michael K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033186903 | NPPES |
| Pennsylvania | MEDICAID | 10156623 0002 | |
| Pennsylvania | Other | 25-1716306 | |
| Pennsylvania | Other | 25-1716306 | |
| Pennsylvania | Other | 25-1716306 | |
| Pennsylvania | Other | G920-0101/85XWCU | |
| Pennsylvania | Other | 1928717 | |
| Pennsylvania | Other | 25-1716306 | |
| Pennsylvania | Other | P00627622 | |
| Pennsylvania | Other | 001828361 | |
| Pennsylvania | Other | 50079823 | |
| Pennsylvania | Other | 7788804 | |
| Pennsylvania | Other | 25-1716306 | |
| Pennsylvania | Other | MD425631 | |
| Pennsylvania | Other | PEARL | |
| Pennsylvania | Other | 2183091 | |
| Pennsylvania | Other | 25-1716306 | |
| Pennsylvania | Other | 050514 | |
| Pennsylvania | Other | 120420418 | |
| Pennsylvania | Other | 1573434 | |
| Pennsylvania | Other | 240951 | |
| Pennsylvania | Other | 25-1716306 |
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