Krisher, Theodore K

Krisher, Theodore K is an individual health care provider with primary practice located at 2315 8Th St , Lewiston ID 83501-7301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Krisher, Theodore K can be contacted via phone (208) 746-1383.

Contact Information

Primary practice address
2315 8Th St Lewiston ID 83501-7301
Phone: (208) 746-1383
Fax: (208) 746-6348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M3676 Idaho
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00040584 Washington

Profile Details

NPI number 1396828158
LBN Legal business name Krisher, Theodore K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Mar 8th, 2016 - about 8 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 1396828158 NPPES
Idaho Other 1396828158 REGENCE BLUESHIELD
Idaho MEDICAID 1089838 REGENCE BLUESHIELD
Idaho Other 0171659 REGENCE BLUESHIELD
Idaho Other DF508 REGENCE BLUESHIELD
Idaho MEDICAID 1396828158 REGENCE BLUESHIELD

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