Richard Radnovich Do Pc

LBN: Richard Radnovich Do Pc
Richard Radnovich Do Pc is an health care organization with primary practice located at 4850 N Rosepoint Way Suite 100, Boise ID 83713-5262. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Richard Radnovich Do Pc can be contacted via phone (208) 939-2100, or through Radnovich, Richard G via phone (208) 939-2100.

Contact Information

Primary practice address
4850 N Rosepoint Way Suite 100 Boise ID 83713-5262
Phone: (208) 939-2100
Fax: (208) 939-4411
Website:
Map and Directions
Authorized official contact:
Name: Radnovich, Richard G Doctor of Osteopathy (DO)
Phone: (208) 939-2100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X

Profile Details

NPI number 1417143926
LBN Legal business name Richard Radnovich Do Pc
DBA Doing business as
Authorized official Radnovich, Richard G Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2007
Last updated Sep 18th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417143926 NPPES
Idaho Other 000010139957 REGENCE BLUE SHIELD OF ID
Idaho Other S3978 REGENCE BLUE SHIELD OF ID

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