Loewenstein, Tim R
Loewenstein, Tim R is an individual health care provider with primary practice located at 3280 E Lanark Dr , Meridian ID 83642-5982. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Loewenstein, Tim R can be contacted via phone (208) 895-8670.Contact Information
Primary practice address
3280 E Lanark Dr
Meridian ID 83642-5982
Phone: (208) 895-8670
Fax: (208) 955-0494
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA349 | Idaho |
Profile Details
| NPI number | 1376597377 |
|---|---|
| LBN Legal business name | Loewenstein, Tim R |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Jul 15th, 2021 - about 4 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 | 1376597377 | NPPES |
| Idaho | MEDICAID | 806033700 |
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