National Provider Identifier Database

LEWISTON ORTHOPAEDIC ASSOCIATES PA
Neuromusculoskeletal Medicine, Sports Medicine

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation.


Contact Information

LEWISTON ORTHOPAEDIC ASSOCIATES PA
320 WARNER DR
LEWISTON, ID83501-4441
Phone: 208-743-3523
Fax: 208-746-8741
Website:
Specialty Taxonomy Code
* Neuromusculoskeletal Medicine, Sports Medicine 204C00000X
Medical Specialty 261QM2500X
Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for LEWISTON ORTHOPAEDIC ASSOCIATES PA

NPI Number 1215095252
Legal business name
LBN
LEWISTON ORTHOPAEDIC ASSOCIATES PA
Authorized official CINDY KEENE - (CEO)
Entity Organization
Organization subpart No
Enumeration date 12/04/2006
Last updated 01/24/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: BL04-213478
  • ID Medicaid: 002397200
  • WA Medicaid: 7849003
  • ID Other: 89409 BCI
  • ID Other: 000010026897 REGENCE BLUESHIELD IDAHO

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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