PINEVIEW MEDICAL LLC NPI 1386412245

NPI Information

  • NPI: 1386412245
  • Provider Name: PINEVIEW MEDICAL LLC
  • Classification: Psychiatry & Neurology - 2084N0600X
  • Specialization: Clinical Neurophysiology
  • Entity Type: Organization
  • Address: 9075 STONEY CREEK RD
    POCATELLO, ID
    ZIP 83204
  • Phone: (888) 851-3677

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NPI Details

PINEVIEW MEDICAL LLC is a clinical neurophysiology psychiatry neurology in Pocatello, ID. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). PINEVIEW MEDICAL LLC NPI is 1386412245. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9075 STONEY CREEK RD
POCATELLO, ID
ZIP 83204-242
Phone: (888) 851-3677
Fax: (888) 851-3671

The provider's authorized official is Jared Allen .
The authorized official title is Member and has the following contact phone number (801) 643-5057.

The enumeration date for this NPI number is 12/19/2023 and was last updated on 12/19/2023.

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
12084N0600XPsychiatry & NeurologyClinical NeurophysiologyYes

What is NPI?

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

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