Claine D Judy D.O.

LBN: Judy Pc
Claine D Judy D.O. is an health care organization with primary practice located at 500 S 11Th Ave Ste 501, Pocatello ID 83201. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Judy Pc can be contacted via phone (208) 232-7434, or through Judy, Claine Doyle via phone (208) 232-7434.

Contact Information

Primary practice address
500 S 11Th Ave Ste 501 Pocatello ID 83201
Phone: (208) 232-7434
Fax: (208) 233-6446
Website:
Map and Directions
Authorized official contact:
Name: Judy, Claine Doyle Doctor of Osteopathy (DO)
Phone: (208) 232-7434

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X C143842 Idaho

Profile Details

NPI number 1528152758
LBN Legal business name Judy Pc
DBA Doing business as Claine D Judy D.O.
Authorized official Judy, Claine Doyle Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 22nd, 2007 - about 19 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 1528152758 NPPES
Idaho Other 8N074 BLUE CROSS OF IDAHO
Idaho MEDICAID 806327500 BLUE CROSS OF IDAHO

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