Kornfield, Lee M

Kornfield, Lee M is an individual health care provider with primary practice located at 600 W Robbins Rd Suite 301, Boise ID 83702-4565. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kornfield, Lee M can be contacted via phone (208) 489-4990.

Contact Information

Primary practice address
600 W Robbins Rd Suite 301 Boise ID 83702-4565
Fax: (208) 489-4070
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M4324 Idaho

Profile Details

NPI number 1275527186
LBN Legal business name Kornfield, Lee M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Oct 21st, 2014 - about 11 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 1275527186 NPPES
Idaho MEDICAID 000243100

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