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AFFILIATED NEUROLOGISTS PLLC NPI 1316090426


NPI Information

NPI: 1316090426
Provider Name: AFFILIATED NEUROLOGISTS PLLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
338 6TH ST
SUITE 102
LEWISTON, ID
ZIP 83501
Phone: (208) 746-3320
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AFFILIATED NEUROLOGISTS PLLC is a neurology psychiatry neurology in Lewiston, ID. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. AFFILIATED NEUROLOGISTS PLLC NPI is 1316090426. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

338 6TH ST
SUITE 102
LEWISTON, ID
ZIP 83501-419
Phone: (208) 746-3320
Fax: (208) 746-8717

The provider's authorized official is Mark Randall Keane .
The authorized official title is Member and has the following contact phone number (208) 746-3320.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 8/22/2020.


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
12084N0400XPsychiatry & NeurologyNeurologyM7728IDAHOYes

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
17088867MEDICAIDWASHINGTON

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

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