Buoncristiani, Anthony Maisin

Buoncristiani, Anthony Maisin is an individual health care provider with primary practice located at 660 2Nd Ave S Unit A, Ketchum ID 83340. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Buoncristiani, Anthony Maisin can be contacted via phone (208) 622-3312.

Contact Information

Primary practice address
660 2Nd Ave S Unit A Ketchum ID 83340
Phone: (208) 622-3312
Fax: (208) 622-4919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X M-9501 Idaho
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M-9501 Idaho

Profile Details

NPI number 1841246279
LBN Legal business name Buoncristiani, Anthony Maisin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Apr 26th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841246279 NPPES
Idaho Other P00381131 RR MEDICARE
Idaho MEDICAID 807513700 RR MEDICARE

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