Obray, John W
Obray, John W is an sole proprietor health care provider with primary practice located at 296 S 3Rd W , Soda Springs ID 83276-1561. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Obray, John W can be contacted via phone (208) 547-2779.Contact Information
Primary practice address
296 S 3Rd W
Soda Springs ID 83276-1561
Phone: (208) 547-2779
Fax: (208) 547-4910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M3806 | Idaho |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | M3806 | Idaho |
Profile Details
| NPI number | 1396862033 |
|---|---|
| LBN Legal business name | Obray, John W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1396862033 | NPPES |
| Idaho | Other | 000010005790 | REGENCE BLUE SHIELD IDAHO |
| Idaho | Other | 38067 | REGENCE BLUE SHIELD IDAHO |
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