Boughton, Janice
Boughton, Janice is an individual health care provider with primary practice located at 700 S Main St , Moscow ID 83843-3056. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Boughton, Janice can be contacted via phone (509) 334-8567.Contact Information
Primary practice address
700 S Main St
Moscow ID 83843-3056
Phone: (509) 334-8567
Fax: (208) 883-6551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00025772 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M-6527 | Idaho |
Profile Details
| NPI number | 1497784219 |
|---|---|
| LBN Legal business name | Boughton, Janice |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Apr 30th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497784219 | NPPES |
| Idaho | MEDICAID | 002641100 | |
| Idaho | MEDICAID | 8116196 |
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