Hirsch, Nathan J

Hirsch, Nathan J is an individual health care provider with primary practice located at 450 W State St Ste 100, Eagle ID 83616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hirsch, Nathan J can be contacted via phone (208) 939-1035.

Contact Information

Primary practice address
450 W State St Ste 100 Eagle ID 83616
Phone: (208) 939-1035
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G84579 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M11639 Idaho

Profile Details

NPI number 1669556643
LBN Legal business name Hirsch, Nathan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Dec 29th, 2012 - about 14 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 1669556643 NPPES
California MEDICAID 00G845790

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