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CONSULTANTS IN EPILEPSY AND NEUROLOGY PLLC NPI 1902155773


NPI Information

NPI: 1902155773
Provider Name: CONSULTANTS IN EPILEPSY AND NEUROLOGY, PLLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 13D1075634

Address:
1499 W. HAYS ST.
BOISE, ID
ZIP 83702
Phone: (208) 275-8585
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CONSULTANTS IN EPILEPSY AND NEUROLOGY, PLLC is a neurology psychiatry neurology in Boise, 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. CONSULTANTS IN EPILEPSY AND NEUROLOGY, PLLC NPI is 1902155773. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1499 W. HAYS ST.
BOISE, ID
ZIP 83702-717
Phone: (208) 275-8585
Fax: (208) 275-8586

The provider's authorized official is Robert T. Wechsler .
The authorized official title is Owner and has the following contact phone number (208) 275-8585.

The CLIA number assigned to this NPI record is 13D1075634 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2012 and was last updated on 9/7/2012.


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 & NeurologyNeurologyM9221IDAHOYes

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
1807254700MEDICAIDIDAHO
2H93793MEDICARE UPINIDAHO
31131222MEDICARE 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

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