Rooney, Michael
Rooney, Michael is an individual health care provider with primary practice located at 415 6Th St , Lewiston ID 83501-2431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Rooney, Michael can be contacted via phone (208) 743-2511.Contact Information
Primary practice address
415 6Th St
Lewiston ID 83501-2431
Phone: (208) 743-2511
Fax: (208) 799-5528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | M-4745 | Idaho |
Profile Details
| NPI number | 1093753360 |
|---|---|
| LBN Legal business name | Rooney, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 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 | 1093753360 | NPPES |
| Idaho | MEDICAID | 002649400 | |
| Idaho | Other | HB112 | |
| Idaho | Other | 10004623 | |
| Idaho | MEDICAID | 8616708 |
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