National Provider Identifier Database

ASSOCIATED INTERNAL MEDICINE PA
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

ASSOCIATED INTERNAL MEDICINE PA
2207 IRONWOOD PL
COEUR D'ALENE, ID83814
Phone: 208-667-1200
Fax: 208-667-3994
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for ASSOCIATED INTERNAL MEDICINE PA

NPI Number 1699805994
Legal business name
LBN
ASSOCIATED INTERNAL MEDICINE PA
Authorized official SUSAN DAUGHARTY FOWLER - (MD OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/06/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: M5531
  • ID License #: PA573

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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