Kattenhorn, Jon R

Kattenhorn, Jon R is an individual health care provider with primary practice located at 1072 N Liberty St Suite 100, Boise ID 83704-8708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Kattenhorn, Jon R can be contacted via phone (208) 302-1200.

Contact Information

Primary practice address
1072 N Liberty St Suite 100 Boise ID 83704-8708
Phone: (208) 302-1200
Fax: (208) 302-1255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M3893 Idaho
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M-3893 Idaho

Profile Details

NPI number 1881648251
LBN Legal business name Kattenhorn, Jon R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Nov 10th, 2016 - about 9 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 1881648251 NPPES
Idaho Other 000010005174 BLUE SHIELD
Idaho MEDICAID 003785900 BLUE SHIELD
Idaho Other 38935 BLUE SHIELD

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