Teton Oncology Llc

LBN: Teton Oncology Llc
Teton Oncology Llc is an health care organization with primary practice located at 380 Walker Dr , Rexburg ID 83440-1657. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Teton Oncology Llc can be contacted via phone (208) 356-9559, or through Dickson, Dane J via phone (208) 356-9559.

Contact Information

Primary practice address
380 Walker Dr Rexburg ID 83440-1657
Phone: (208) 356-9559
Fax: (208) 356-6601
Website:
Map and Directions
Authorized official contact:
Name: Dickson, Dane J Doctor of Medicine (MD)
Phone: (208) 356-9559

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X M8118 Idaho

Profile Details

NPI number 1245382985
LBN Legal business name Teton Oncology Llc
DBA Doing business as
Authorized official Dickson, Dane J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Mar 31st, 2008 - about 17 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 1245382985 NPPES
Idaho Other 000010032448 BLUE SHIELD
Idaho Other 8J950 BLUE SHIELD

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