Miewald, Bruce K
Miewald, Bruce K is an individual health care provider with primary practice located at 2199 Ironwood Center Drive , Coeur D Alene ID 83814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Miewald, Bruce K can be contacted via phone (208) 625-4888.Contact Information
Primary practice address
2199 Ironwood Center Drive
Coeur D Alene ID 83814
Phone: (208) 625-4888
Fax: (208) 625-5734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | M5751 | Idaho |
Profile Details
| NPI number | 1467528984 |
|---|---|
| LBN Legal business name | Miewald, Bruce K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Nov 4th, 2016 - about 8 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 | 1467528984 | NPPES |
| Idaho | MEDICAID | 003816100 |
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