Koga, Steven J
Koga, Steven J is an individual health care provider with primary practice located at 1906 Fairview Ave Ste 230 , Caldwell ID 83605-5432. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Koga, Steven J can be contacted via phone (208) 459-4667.Contact Information
Primary practice address
1906 Fairview Ave Ste 230
Caldwell ID 83605-5432
Phone: (208) 459-4667
Fax: (208) 459-3372
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M6779 | Idaho |
Profile Details
| NPI number | 1144275512 |
|---|---|
| LBN Legal business name | Koga, Steven J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Jan 28th, 2022 - about 4 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 | 1144275512 | NPPES |
| Idaho | MEDICAID | 002349300 |
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