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Contact Information

ORTHOIDAHO LLC
2240 E CENTER ST
POCATELLO, ID83201-2600
 Phone: 208-233-2100
 Fax: 208-233-3146
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ORTHOIDAHO LLC · (Female)

NPI Number 1659870517
Status Active
Credentials
Entity Individual
Enumeration date 02/06/2018
Last updated 02/06/2018 - About 8 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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