Macha, Matthew R
Macha, Matthew R is an individual health care provider with primary practice located at 166 W Jefferson St , Boise ID 83702-6124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Macha, Matthew R can be contacted via phone (208) 343-5600.Contact Information
Primary practice address
166 W Jefferson St
Boise ID 83702-6124
Phone: (208) 343-5600
Fax: (208) 345-4398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M6834 | Idaho |
Profile Details
| NPI number | 1730190836 |
|---|---|
| LBN Legal business name | Macha, Matthew R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730190836 | NPPES |
| Idaho | Other | B3879 | BC OF IDAHO MTN HOME |
| Idaho | Other | B3861 | BC OF IDAHO MTN HOME |
| Idaho | Other | 000010001037 | BC OF IDAHO MTN HOME |
| Idaho | Other | 000010144925 | BC OF IDAHO MTN HOME |
| Idaho | Other | 000010149831 | BC OF IDAHO MTN HOME |
| Idaho | Other | 70334 | BC OF IDAHO MTN HOME |
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