Sadaj, John Michael

Sadaj, John Michael is an individual health care provider with primary practice located at 215 E Hawaii Ave , Nampa ID 83686-6011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sadaj, John Michael can be contacted via phone (208) 463-3000.

Contact Information

Primary practice address
215 E Hawaii Ave Nampa ID 83686-6011
Phone: (208) 463-3000
Fax: (208) 463-3044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M8703 Idaho

Profile Details

NPI number 1407846140
LBN Legal business name Sadaj, John Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated May 11th, 2016 - about 8 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 1407846140 NPPES
Idaho Other 000010140225 BLUE SHIELD
Idaho Other 290015068 BLUE SHIELD
Idaho Other 51573 BLUE SHIELD
Idaho MEDICAID 806441300 BLUE SHIELD

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