National Provider Identifier Database

EIRMC HOSPITALIST SERVICES LLC
Adolescent Medicine

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.


Contact Information

EIRMC HOSPITALIST SERVICES, LLC
3100 CHANNING WAY
IDAHO FALLS, ID83404-7533
Phone: 208-227-2570
Fax: 208-227-2571
Website:
Specialty Taxonomy Code
* Adolescent Medicine 207QA0000X

* Indicates primary specialty

NPI Profile & details for EIRMC HOSPITALIST SERVICES, LLC

NPI Number 1528390895
Legal business name
LBN
EIRMC HOSPITALIST SERVICES, LLC
Authorized official TONY GOLDEN - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 02/11/2010
Last updated 12/07/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: 39651

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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