Sonntag, John R
Sonntag, John R is an individual health care provider with primary practice located at 5680 W Gage St , Boise ID 83706-1326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Sonntag, John R can be contacted via phone (208) 377-3937.Contact Information
Primary practice address
5680 W Gage St
Boise ID 83706-1326
Phone: (208) 377-3937
Fax: (208) 377-9455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | M4623 | Idaho |
Profile Details
| NPI number | 1245223809 |
|---|---|
| LBN Legal business name | Sonntag, John R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Jun 25th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245223809 | NPPES |
| Idaho | MEDICAID | 001553800 |
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