Waldmann, Todd M

Waldmann, Todd M is an individual health care provider with primary practice located at 2855 E Magic View Dr , Meridian ID 83642-6245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Waldmann, Todd M can be contacted via phone (208) 639-4900.

Contact Information

Primary practice address
2855 E Magic View Dr Meridian ID 83642-6245
Phone: (208) 639-4900
Fax: (208) 639-4901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X M-7595 Idaho

Profile Details

NPI number 1104877299
LBN Legal business name Waldmann, Todd M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Feb 22nd, 2021 - about 3 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 1104877299 NPPES
Idaho Other 000010004760 BLUE SHIELD BOISE
Idaho MEDICAID 805249200 BLUE SHIELD BOISE
Idaho Other 76711 BLUE SHIELD BOISE
Idaho Other B4893 BLUE SHIELD BOISE
Idaho Other 000010157306 BLUE SHIELD BOISE
Idaho Other P00250287 BLUE SHIELD BOISE

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