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Contact Information

IDAHO FOOT & ANKLE ASSOCIATES
809 N LIBERTY ST
BOISE, ID83704-8703
 Phone: 208-327-0627
 Fax: 208-376-5258
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for IDAHO FOOT ANKLE ASSOCIATES · (Female)

NPI # 1538282116
Status Active
Credentials
Entity Individual
Enumeration date 04/09/2007
Last updated 10/13/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • ID Medicaid 001970800
  • ID Medicaid 002680000
  • ID Medicaid 002680100
  • ID Medicaid 004395700
  • ID Medicaid 805793600
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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