National Provider Identifier Database

IDAHO JOINT AND SPINE PC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

IDAHO JOINT AND SPINE, PC
9510 W FAIRVIEW AVE
BOISE, ID83704-8103
Phone: 208-322-5922
Fax: 208-323-1386
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for IDAHO JOINT AND SPINE, PC

NPI Number 1891104014
Legal business name
LBN
IDAHO JOINT AND SPINE, PC
Authorized official JAMES WHITAKER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/13/2014
Last updated 08/13/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: O-0794

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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