Michael Obrien Md Pa

LBN: Michael Obrien Md Pa
Michael Obrien Md Pa is an health care organization with primary practice located at 901 N Curtis Rd Suite 101, Boise ID 83706-1338. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Michael Obrien Md Pa can be contacted via phone (208) 367-2802, or through Evans, Jeremy via phone (208) 367-2802.

Contact Information

Primary practice address
901 N Curtis Rd Suite 101 Boise ID 83706-1338
Phone: (208) 367-2802
Fax: (208) 375-8755
Website:
Map and Directions
Authorized official contact:
Name: Evans, Jeremy
Phone: (208) 367-2802

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M2977 Idaho

Profile Details

NPI number 1558517102
LBN Legal business name Michael Obrien Md Pa
DBA Doing business as
Authorized official Evans, Jeremy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2008
Last updated Aug 19th, 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 1558517102 NPPES
Idaho MEDICAID 002425500

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