National Provider Identifier Database

BONNERS FERRY FAMILY MEDICINE PLLC
Rural Health


Contact Information

BONNERS FERRY FAMILY MEDICINE, PLLC
6488 CHINOOK ST
BONNERS FERRY, ID83805-9517
Phone: 208-946-0572
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for BONNERS FERRY FAMILY MEDICINE, PLLC

NPI Number 1922152537
Legal business name
LBN
BONNERS FERRY FAMILY MEDICINE, PLLC
Authorized official TROY GEYMAN - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/22/2007
Last updated 12/18/2023 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: M8544

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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