Jonathan S King Md Pc

LBN: Jonathan S King Md Pc
Jonathan S King Md Pc is an health care organization with primary practice located at 1107 W Ironwood Dr , Coeur D Alene ID 83814-2604. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Jonathan S King Md Pc can be contacted via phone (208) 667-7459, or through King, Jonathan S via phone (208) 667-7459.

Contact Information

Primary practice address
1107 W Ironwood Dr Coeur D Alene ID 83814-2604
Fax: (208) 667-2631
Website:
Authorized official contact:
Name: King, Jonathan S Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M9264 Idaho

Profile Details

NPI number 1821101023
LBN Legal business name Jonathan S King Md Pc
DBA Doing business as
Authorized official King, Jonathan S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated Aug 27th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821101023 NPPES
Idaho Other P00331085 RAILROAD MEDICARE
Idaho MEDICAID 807235300 RAILROAD MEDICARE

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