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IDAHO SLEEP AND NEUROLOGY PLLC NPI 1063585305


NPI Information

NPI: 1063585305
Provider Name: IDAHO SLEEP AND NEUROLOGY PLLC

Doing Business As: IDAHO SLEEP AND NEUROLOGY PLLC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
211 E LOGAN ST
SUITE 105
CALDWELL, ID
ZIP 83605
Phone: (208) 454-0567
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IDAHO SLEEP AND NEUROLOGY PLLC is a specialist in Caldwell, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. IDAHO SLEEP AND NEUROLOGY PLLC NPI is 1063585305. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Idaho Sleep And Neurology Pllc.

The provider's business location address is:

211 E LOGAN ST
SUITE 105
CALDWELL, ID
ZIP 83605-882
Phone: (208) 454-0567
Fax: (208) 454-0965

The provider's authorized official is Lance Hale .
The authorized official title is Practice Manager and has the following contact phone number (208) 454-0567.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 12/27/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistIDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERIDAHOFEDERAL TAX I.D. NUMBER
21366392MEDICARE PINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.