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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 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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