Rau, Thomas R

Rau, Thomas R is an individual health care provider with primary practice located at 700 W Ironwood Dr Suite 155, Coeur D Alene ID 83814-2656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rau, Thomas R can be contacted via phone (208) 667-0585.

Contact Information

Primary practice address
700 W Ironwood Dr Suite 155 Coeur D Alene ID 83814-2656
Phone: (208) 667-0585
Fax: (208) 667-0876
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M5461 Idaho

Profile Details

NPI number 1013927979
LBN Legal business name Rau, Thomas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Dec 18th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013927979 NPPES
Idaho Other 000010003964 REGENCE BLUE SHIELD
Idaho MEDICAID 002584800 REGENCE BLUE SHIELD
Idaho Other 54619 REGENCE BLUE SHIELD

Popular Providers