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Contact Information

AUTUMN M LOOMIS, MD
100 HOSPITAL DR
KETCHUM, ID83340
 Phone: 208-727-8100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for AUTUMN M LOOMIS · (Female)

NPI Number 1457676314
Status Active
Credentials MD
Entity Individual
Enumeration date 04/05/2010
Last updated 07/26/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # M-16646
  • KY License # 46501
Hospital affiliation(s)
  • LOWELL GENERAL HOSPITAL - (Acute Care)
    295 VARNUM AVENUE
    LOWELL, MA 01854
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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