Noonan, Daniel Kp

Noonan, Daniel Kp is an individual health care provider with primary practice located at 287 W Jefferson St , Boise ID 83702-6045. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Noonan, Daniel Kp can be contacted via phone (208) 322-1680.

Contact Information

Primary practice address
287 W Jefferson St Boise ID 83702-6045
Phone: (208) 322-1680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X M-12094 Idaho
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X M-12094 Idaho

Profile Details

NPI number 1942474853
LBN Legal business name Noonan, Daniel Kp
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2008
Last updated Jan 16th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942474853 NPPES
Idaho MEDICAID 1942474853

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