Obligato, Peter Richard

Obligato, Peter Richard is an individual health care provider with primary practice located at 700 W Ironwood Dr Ste 170E , Coeur D Alene ID 83814-2666. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Obligato, Peter Richard can be contacted via phone (208) 292-0990.

Contact Information

Primary practice address
700 W Ironwood Dr Ste 170E Coeur D Alene ID 83814-2666
Phone: (208) 292-0990
Fax: (208) 292-2950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G27958 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M6042 Idaho

Profile Details

NPI number 1952363780
LBN Legal business name Obligato, Peter Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jan 14th, 2011 - about 14 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 1952363780 NPPES
Other G27958 BLUE CROSS
Other 00G279580 BLUE CROSS
Other 00G279580 BLUE CROSS
Other 010039635 BLUE CROSS
MEDICAID 00G279580 BLUE CROSS

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