Sim, David N

Sim, David N is an sole proprietor health care provider with primary practice located at 6014 W Emerald St , Boise ID 83704-8855. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Sim, David N can be contacted via phone (208) 376-8666.

Contact Information

Primary practice address
6014 W Emerald St Boise ID 83704-8855
Fax: (208) 376-8902
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X M-3561 Idaho

Profile Details

NPI number 1114106952
LBN Legal business name Sim, David N
Credentials M.D.,P.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2007
Last updated Oct 29th, 2007 - about 17 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 1114106952 NPPES
Idaho Other 35618 BLUE CROSS
Idaho Other 000010001844 BLUE CROSS

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