Schlickman, Louis Michael

Schlickman, Louis Michael is an individual health care provider with primary practice located at 3080 E Gentry Way Suite 200, Meridian ID 83642-3013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Schlickman, Louis Michael can be contacted via phone (208) 884-3770.

Contact Information

Primary practice address
3080 E Gentry Way Suite 200 Meridian ID 83642-3013
Fax: (541) 278-8360
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M7522 Idaho

Profile Details

NPI number 1629022116
LBN Legal business name Schlickman, Louis Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Aug 10th, 2011 - about 15 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 1629022116 NPPES
Idaho Other P00191484 RAILROAD MEDICARE
Idaho MEDICAID 805294800 RAILROAD MEDICARE
Idaho Other 201188708 RAILROAD MEDICARE

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