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Contact Information

CATALYST ORTHOPAEDIC & SPORTS MEDICINE INSTITUTE LLC
8950 W EMERALD ST STE 168
BOISE, ID83704-8296
 Phone: 208-321-1209
 Fax: 208-321-1211
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Orthopaedic Assistant

246ZX2200X
 

Orthopedic

163WX0800X
 

Orthotics/Prosthetics Fitter

225000000X
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CATALYST ORTHOPAEDIC SPORTS MEDICINE INSTITUTE LLC · (Female)

NPI Number 1619746740
Status Active
Credentials
Entity Individual
Enumeration date 12/29/2023
Last updated 03/20/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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