Ronald E Jutzy Md Inc
LBN: Ronald E Jutzy Md Inc
Ronald E Jutzy Md Inc is an health care organization with primary practice located at 6140 Curtisian Ave Suite 400, Boise ID 83704-8880. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty.
Ronald E Jutzy Md Inc can be contacted via phone (208) 367-3500, or through Jutzy, Ronald E via phone (208) 367-3500.
Contact Information
Primary practice address
6140 Curtisian Ave Suite 400
Boise ID 83704-8880
Phone: (208) 367-3500
Fax: (208) 367-2968
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | M5302 | Idaho |
Profile Details
| NPI number | 1811906076 |
|---|---|
| LBN Legal business name | Ronald E Jutzy Md Inc |
| DBA Doing business as | |
| Authorized official | Jutzy, Ronald E Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jul 9th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811906076 | NPPES |
| Idaho | MEDICAID | 806667900 | |
| Idaho | Other | 202662100 | |
| Idaho | Other | 72439 | |
| Idaho | MEDICAID | 003530200 | |
| Idaho | Other | 8K321 | |
| Idaho | Other | 190686 | |
| Idaho | Other | 12 |
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