PEINE OSTEOPATHIC MEDICINE PLLC NPI 1306010046

NPI Information

  • NPI: 1306010046
  • Provider Name: PEINE OSTEOPATHIC MEDICINE PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 450 W STATE ST
    SUITE 250
    EAGLE, ID
    ZIP 83616
  • Phone: (208) 947-0925

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NPI Details

PEINE OSTEOPATHIC MEDICINE PLLC is a family medicine in Eagle, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PEINE OSTEOPATHIC MEDICINE PLLC NPI is 1306010046. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

450 W STATE ST
SUITE 250
EAGLE, ID
ZIP 83616-057
Phone: (208) 947-0925
Fax: (208) 947-0926

The provider's authorized official is Christopher C Peine .
The authorized official title is Owner and has the following contact phone number (208) 947-0925.

The enumeration date for this NPI number is 4/14/2008 and was last updated on 4/14/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineO-0366IDAHOYes

What is NPI?

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This page was last updated on: 11/21/2025

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