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Contact Information

ASTHMA & ALLERGY OF IDAHO
1502 LOCUST ST N STE 600
TWIN FALLS, ID83301-4164
 Phone: 208-734-6091
 Fax: 208-734-4654
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ASTHMA & ALLERGY OF IDAHO

NPI # 1265635171
LBN Legal business name ASTHMA & ALLERGY OF IDAHO
Authorized official ANDREW WICKERN - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/07/2007
Last updated 01/14/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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