Richard A Wathne, Md Pa

LBN: Richard A Wathne, Md Pa
Richard A Wathne, Md Pa is an health care organization with primary practice located at 2240 E Center St , Pocatello ID 83201-2600. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Richard A Wathne, Md Pa can be contacted via phone (208) 233-2100, or through Wathne, Richard A via phone (208) 233-2100.

Contact Information

Primary practice address
2240 E Center St Pocatello ID 83201-2600
Phone: (208) 233-2100
Fax: (208) 233-3146
Website:
Map and Directions
Authorized official contact:
Name: Wathne, Richard A Doctor of Medicine (MD)
Phone: (208) 233-2100

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M6663 Idaho

Profile Details

NPI number 1023146057
LBN Legal business name Richard A Wathne, Md Pa
DBA Doing business as
Authorized official Wathne, Richard A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Sep 7th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023146057 NPPES
Other CG1936 RAILROAD MEDICARE
Other 185512700 RAILROAD MEDICARE
Other 000010000719 RAILROAD MEDICARE

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