Fealko, Monika Gerda

Fealko, Monika Gerda is an individual health care provider with primary practice located at 333 N. First St Suite 240, Boise ID 83702. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Fealko, Monika Gerda can be contacted via phone (208) 338-8900.

Contact Information

Primary practice address
333 N. First St Suite 240 Boise ID 83702
Phone: (208) 338-8900
Fax: (208) 331-2418
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35079854F Ohio
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M-10332 Idaho

Profile Details

NPI number 1801891569
LBN Legal business name Fealko, Monika Gerda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Sep 2nd, 2008 - about 17 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 1801891569 NPPES
Idaho MEDICAID 808110100
Idaho MEDICAID 2386636
Idaho Other P00108848

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