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
Phone: (208) 489-4990
Fax: (208) 489-4070
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275527186 | NPPES |
Idaho | MEDICAID | 000243100 |
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