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Contact Information

ROBERT T WECHSLER, MD, PHD, FAAN
1499 W. HAYS ST.
BOISE, ID83702
 Phone: 208-275-8585
 Fax: 208-275-8586
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ROBERT T WECHSLER · (Male)

NPI Number 1962498568
Status Active
Credentials MD, PHD, FAAN
Entity Individual
Enumeration date 09/20/2005
Last updated 01/07/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # M9221
  • ID Medicaid 807254700
  • ID Medicaid 807254701
  • ID Other 75135 BLUE CROSS OF IDAHO
  • ID Other 000010151186 REGENCE BLUE SHIELD
Hospital affiliation(s)
  • ST LUKES REGIONAL MEDICAL CENTER - (Acute Care)
    190 EAST BANNOCK STREET
    BOISE, ID 83712
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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