Hightower, David P
Hightower, David P is an sole proprietor health care provider with primary practice located at 190 E Bannock St , Boise ID 83712-6241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Hightower, David P can be contacted via phone (208) 381-8748.Contact Information
Primary practice address
190 E Bannock St
Boise ID 83712-6241
Phone: (208) 381-8748
Fax: (208) 381-8786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | M-9719 | Idaho |
Profile Details
| NPI number | 1720089527 |
|---|---|
| LBN Legal business name | Hightower, David P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Jun 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720089527 | NPPES |
| Other | P00191070 | RR MEDICARE GROUP DC6712 | |
| Other | 930051046 | RR MEDICARE GROUP DC6712 | |
| MEDICAID | 206039802 | RR MEDICARE GROUP DC6712 | |
| Other | 01674018 | RR MEDICARE GROUP DC6712 | |
| MEDICAID | 100270040A | RR MEDICARE GROUP DC6712 | |
| MEDICAID | 100270040C | RR MEDICARE GROUP DC6712 | |
| Other | 23279063 | RR MEDICARE GROUP DC6712 |
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