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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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