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Contact Information

FRED E GIOVANINI, L.D.
505 1ST STREET, SUITE A
IDAHO FALLS, ID83401
 Phone: 208-525-6002
 Fax: 208-232-2558
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Denturist

122400000X
Indicates primary specialty

NPI Profile & details for FRED E GIOVANINI · (Male)

NPI Number 1386875268
Status Active
Credentials L.D.
Entity Individual
Enumeration date 07/27/2009
Last updated 07/27/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • ID License # LD35
  • ID Medicaid 002725400
  • ID Other GD203 BLUE CROSS OF IDAHO
  • ID Other 000010009728 BLUE SHIELD OF IDAHO
  • ID Other 0041 DELTA DENTAL OF IDAHO
  • KY Other 0005553418 AETNA
  • PA Other 1650686 UNITED CONCORDIA
  • WA Other 753354100000 PREMERA BLUE CROSS
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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