National Provider Identifier Database

GLENN H WEYHRICH, MD – NPI #1255450649
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Contact Information

GLENN H WEYHRICH, MD
222 N 2ND ST STE 206
BOISE, ID  83702-6130
Phone: 208-342-2516
Fax: 208-342-1661
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for GLENN H WEYHRICH

NPI Number 1255450649
Credentials MD
Entity Individual
Enumeration date 03/28/2007
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • IL License #: M3119
  • ID Medicaid: 002523800
  • ID Other: 01602650631 AMA MEMBERSHIP
  • ID Other: 50120 BLUE CROSS OF IDAHO
  • ID Other: 13D0521509 CLIA LAB ID NUMBER
  • ID Other: MD1637 IDAHO CONTROLLED SUBSTANC
  • ID Other: M3119 IDAHO STATE LICENSE
  • ID Other: 000010000709 REGENCE BLUE SHIELD OF ID
  • OR Other: 140277 OMAP OREGON MEDICAID
Hospital affiliation n/a

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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