National Provider Identifier Database

ROCKY MOUNTAIN EMERGENCY PHYSICIANS LLC
Emergency Medical Services


Contact Information

ROCKY MOUNTAIN EMERGENCY PHYSICIANS, LLC
777 HOSPITAL WAY
POCATELLO, ID83201
Phone: 480-421-9799
Fax: 480-421-9899
Website:
Specialty Taxonomy Code
* Emergency Medical Services 207PE0004X

* Indicates primary specialty

NPI Profile & details for ROCKY MOUNTAIN EMERGENCY PHYSICIANS, LLC

NPI Number 1508003104
Legal business name
LBN
ROCKY MOUNTAIN EMERGENCY PHYSICIANS, LLC
Authorized official RANDALL FOWLER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/19/2009
Last updated 05/11/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: M4363
  • ID Other: 8N801 BLUE CROSS
  • ID Other: M4363 LICNESE NUMBER

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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