Mcmahon, Douglas B

Mcmahon, Douglas B is an individual health care provider with primary practice located at 12080 W Mcmillan Rd , Boise ID 83713-2462. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Mcmahon, Douglas B can be contacted via phone (208) 375-4955.

Contact Information

Primary practice address
12080 W Mcmillan Rd Boise ID 83713-2462
Phone: (208) 375-4955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO19768 Oregon
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X M-17583 Idaho

Profile Details

NPI number 1568555001
LBN Legal business name Mcmahon, Douglas B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Dec 19th, 2023 - about last year

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 1568555001 NPPES
Oregon MEDICAID 079587
Oregon Other 4002804-02
Oregon Other 0237420-02
Oregon Other H2549-02
Oregon Other 122912

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