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Contact Information

GLENN H WEYHRICH, MD
222 N 2ND ST STE 206
BOISE, ID83702-6130
 Phone: 208-342-2516
 Fax: 208-342-1661
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for GLENN H WEYHRICH · (Male)

NPI Number 1255450649
Status Active
Credentials MD
Entity Individual
Enumeration date 03/28/2007
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 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(s) Not Available
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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