Judy, Claine Doyle
Judy, Claine Doyle is an individual health care provider with primary practice located at 755 Hospital Way Ste A-5, Pocatello ID 83201-2717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Judy, Claine Doyle can be contacted via phone (208) 233-8444.Contact Information
Primary practice address
755 Hospital Way Ste A-5
Pocatello ID 83201-2717
Phone: (208) 233-8444
Fax: (208) 233-6920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | O-279 | Idaho |
Profile Details
| NPI number | 1356336440 |
|---|---|
| LBN Legal business name | Judy, Claine Doyle |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Aug 22nd, 2007 - about 19 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 | 1356336440 | NPPES |
| Idaho | Other | S3895 | BLUE CROSS OF IDAHO |
| Idaho | Other | 000010138779 | BLUE CROSS OF IDAHO |
| Idaho | MEDICAID | XPY200851 | BLUE CROSS OF IDAHO |
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