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Contact Information

TIMOTHY B NEUSCHWANDER, MD
8854 W EMERALD ST STE 140
BOISE, ID83704-4845
 Phone: 208-321-4790
 Fax: 208-321-4836
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TIMOTHY B NEUSCHWANDER · (Male)

NPI # 1619124906
Status Active
Credentials MD
Entity Individual
Enumeration date 08/19/2008
Last updated 04/21/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ID License # M-14818
  • ID License # M14818
  • MI License # 4301102288
Hospital affiliation(s)
  • ST LUKE'S MCCALL - (Critical Access)
    1000 STATE STREET
    MC CALL, ID 83638
  • 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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