Buitrago, Martha I
Buitrago, Martha I is an individual health care provider with primary practice located at 3614 Washington Pkwy , Idaho Falls ID 83404-7573. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Buitrago, Martha I can be contacted via phone (208) 535-8400.Contact Information
Primary practice address
3614 Washington Pkwy
Idaho Falls ID 83404-7573
Phone: (208) 535-8400
Fax: (208) 535-8409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | M-8675 | Idaho |
Profile Details
| NPI number | 1356349492 |
|---|---|
| LBN Legal business name | Buitrago, Martha I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Oct 5th, 2022 - about 4 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 | 1356349492 | NPPES |
| Idaho | MEDICAID | 806532100 |
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