Dhw Issh Group Physicians

LBN: State Of Idaho
Dhw Issh Group Physicians is an health care organization with primary practice located at 1660 11Th Ave N , Nampa ID 83687-5000. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. State Of Idaho can be contacted via phone (208) 442-2812, or through Broetje, Sue via phone (208) 442-2812.

Contact Information

Primary practice address
1660 11Th Ave N Nampa ID 83687-5000
Phone: (208) 442-2812
Fax: (208) 467-5978
Website:
Map and Directions
Authorized official contact:
Name: Broetje, Sue
Phone: (208) 442-2812

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1538285481
LBN Legal business name State Of Idaho
DBA Doing business as Dhw Issh Group Physicians
Authorized official Broetje, Sue
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Aug 22nd, 2020 - about 5 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 1538285481 NPPES
Idaho MEDICAID 805098900

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