Rambow, Thomas M

Rambow, Thomas M is an individual health care provider with primary practice located at 8950 W Emerald Ste 168 , Boise ID 83704. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rambow, Thomas M can be contacted via phone (208) 323-6273.

Contact Information

Primary practice address
8950 W Emerald Ste 168 Boise ID 83704
Phone: (208) 323-6273
Fax: (208) 323-6277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA260 Idaho

Profile Details

NPI number 1679534184
LBN Legal business name Rambow, Thomas M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2006
Last updated Jun 11th, 2013 - about 11 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 1679534184 NPPES
Idaho Other 000010017781 BLUE SHIELD
Idaho MEDICAID 805478400 BLUE SHIELD
Idaho Other PA381 BLUE SHIELD

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