Joseph W Ippolito Jr Md Pllc

LBN: Joseph W Ippolito Jr Md Pllc
Joseph W Ippolito Jr Md Pllc is an health care organization with primary practice located at 526 Shoup Ave W Suite F, Twin Falls ID 83301-4591. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Joseph W Ippolito Jr Md Pllc can be contacted via phone (208) 736-7620, or through Ippolito, Joseph W via phone (208) 736-7620.

Contact Information

Primary practice address
526 Shoup Ave W Suite F Twin Falls ID 83301-4591
Phone: (208) 736-7620
Fax: (208) 735-9537
Website:
Map and Directions
Authorized official contact:
Name: Ippolito, Joseph W Doctor of Medicine (MD)
Phone: (208) 736-7620

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X M7008 Idaho

Profile Details

NPI number 1154561116
LBN Legal business name Joseph W Ippolito Jr Md Pllc
DBA Doing business as
Authorized official Ippolito, Joseph W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2009
Last updated Aug 29th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154561116 NPPES
Idaho Other 000010001696 REGENCE BLUE SHIELD OF IDAHO
Idaho Other DY066 REGENCE BLUE SHIELD OF IDAHO
Idaho MEDICAID 003755600 REGENCE BLUE SHIELD OF IDAHO

Popular Providers