Nowierski, Leon William
Nowierski, Leon William is an sole proprietor health care provider with primary practice located at 100 Warm Springs Ave Suite A, Boise ID 83712-6243. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Nowierski, Leon William can be contacted via phone (208) 343-5910.Contact Information
Primary practice address
100 Warm Springs Ave Suite A
Boise ID 83712-6243
Phone: (208) 343-5910
Fax: (208) 384-8562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | M4341 | Idaho |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | M4341 | Idaho |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | M4341 | Idaho |
Profile Details
| NPI number | 1376610048 |
|---|---|
| LBN Legal business name | Nowierski, Leon William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Aug 26th, 2022 - about 3 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 | 1376610048 | NPPES |
| Idaho | Other | 43414 | BLUE CROSS OF IDAHO |
| Idaho | Other | 000010021230 | BLUE CROSS OF IDAHO |
| Idaho | MEDICAID | 002586300 | BLUE CROSS OF IDAHO |
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