Wechsler, Robert T
Wechsler, Robert T is an sole proprietor health care provider with primary practice located at 1499 W. Hays St. , Boise ID 83702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Neurophysiology, which is considered as his primary health care specialty. Wechsler, Robert T can be contacted via phone (208) 275-8585.Contact Information
Primary practice address
1499 W. Hays St.
Boise ID 83702
Phone: (208) 275-8585
Fax: (208) 275-8586
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | M9221 | Idaho |
Profile Details
NPI number | 1962498568 |
---|---|
LBN Legal business name | Wechsler, Robert T |
Credentials | MD, PHD, FAAN |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 20th, 2005 |
Last updated | Jan 7th, 2015 - about 9 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 | 1962498568 | NPPES |
Idaho | MEDICAID | 807254701 | |
Idaho | Other | 000010151186 | |
Idaho | Other | 75135 | |
Idaho | MEDICAID | 807254700 |
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