Radnovich, Richard

Radnovich, Richard is an individual health care provider with primary practice located at 4850 N Rosepoint Way Ste 100, Boise ID 83713. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Radnovich, Richard can be contacted via phone (208) 939-2100.

Contact Information

Primary practice address
4850 N Rosepoint Way Ste 100 Boise ID 83713
Phone: (208) 939-2100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X O-259 Idaho
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X O-259 Idaho

Profile Details

NPI number 1407944655
LBN Legal business name Radnovich, Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Oct 28th, 2019 - 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 1407944655 NPPES
Idaho MEDICAID 806047900

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