Stolpe, Mark M
Stolpe, Mark M is an individual health care provider with primary practice located at 1907 S Broadway Ave # 101 , Boise ID 83706-4201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stolpe, Mark M can be contacted via phone (208) 345-1222.Contact Information
Primary practice address
1907 S Broadway Ave # 101
Boise ID 83706-4201
Phone: (208) 345-1222
Fax: (208) 345-1261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M-9741 | Idaho |
Profile Details
| NPI number | 1821065368 |
|---|---|
| LBN Legal business name | Stolpe, Mark M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Feb 16th, 2010 - about 14 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 | 1821065368 | NPPES |
| Idaho | MEDICAID | 80761300 |
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