Ward, Robert M

Ward, Robert M is an individual health care provider with primary practice located at 775 Pole Line Rd W Suite 203, Twin Falls ID 83301-5814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ward, Robert M can be contacted via phone (208) 814-8300.

Contact Information

Primary practice address
775 Pole Line Rd W Suite 203 Twin Falls ID 83301-5814
Phone: (208) 814-8300
Fax: (208) 733-8970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X M6665 Idaho

Profile Details

NPI number 1508894262
LBN Legal business name Ward, Robert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jan 2nd, 2015 - about 10 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 1508894262 NPPES
Idaho Other P00721167 MCRR
Idaho MEDICAID 004292000 MCRR

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