Loegering, Michael Bryan

Loegering, Michael Bryan is an individual health care provider with primary practice located at 413 Allumbaugh St Suite 101, Boise ID 83704-9212. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Loegering, Michael Bryan can be contacted via phone (208) 323-1125.

Contact Information

Primary practice address
413 Allumbaugh St Suite 101 Boise ID 83704-9212
Phone: (208) 323-1125
Fax: (208) 323-9604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP727A Idaho

Profile Details

NPI number 1821038704
LBN Legal business name Loegering, Michael Bryan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Apr 16th, 2021 - about 5 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 1821038704 NPPES
Idaho MEDICAID 807460100

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