Mark A Spelich Md Pc

LBN: Mark A Spelich Md Pc
Mark A Spelich Md Pc is an health care organization with primary practice located at 6590 W Norwood Dr , Boise ID 83704. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Mark A Spelich Md Pc can be contacted via phone (208) 855-2410, or through Sarich, Lori J via phone (208) 855-2410.

Contact Information

Primary practice address
6590 W Norwood Dr Boise ID 83704
Fax: (208) 855-0157
Website:
Authorized official contact:
Name: Sarich, Lori J

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M9278 Idaho

Profile Details

NPI number 1346375417
LBN Legal business name Mark A Spelich Md Pc
DBA Doing business as
Authorized official Sarich, Lori J
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated May 8th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346375417 NPPES
Idaho Other 74880 BLUE CROSS OF IDAHO #
Idaho MEDICAID 807210200 BLUE CROSS OF IDAHO #
Idaho Other 000010151179 BLUE CROSS OF IDAHO #

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