Macinerney, Edward J

Macinerney, Edward J is an individual health care provider with primary practice located at 700 W Ironwood Dr Ste 320 , Coeur D Alene ID 83814-4485. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Macinerney, Edward J can be contacted via phone (208) 625-5250.

Contact Information

Primary practice address
700 W Ironwood Dr Ste 320 Coeur D Alene ID 83814-4485
Fax: (208) 625-5251
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X M-13060 Idaho

Profile Details

NPI number 1053375105
LBN Legal business name Macinerney, Edward J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Apr 15th, 2024 - about 7 months 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 1053375105 NPPES
Missouri Other 060060916 RAILROAD MEDICARE
Missouri MEDICAID 1053375105 RAILROAD MEDICARE
Missouri Other 27025013 RAILROAD MEDICARE
Missouri Other 20007804 RAILROAD MEDICARE

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