Joseph, Anthony E

Joseph, Anthony E is an sole proprietor health care provider with primary practice located at 2240 E Center St , Pocatello ID 83201-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Joseph, Anthony E can be contacted via phone (208) 233-2100.

Contact Information

Primary practice address
2240 E Center St Pocatello ID 83201-2600
Fax: (208) 233-3146
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X M-6309 Idaho

Profile Details

NPI number 1922092741
LBN Legal business name Joseph, Anthony E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2005
Last updated Sep 7th, 2021 - about 3 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 1922092741 NPPES
Idaho MEDICAID 1770877888

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