Shoulder & Knee Center, Pa

LBN: Shoulder & Knee Center, Pa
Shoulder & Knee Center, Pa is an health care organization with primary practice located at 2035 E 17Th St , Idaho Falls ID 83404-6430. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Shoulder & Knee Center, Pa can be contacted via phone (208) 524-5633, or through Andary, John via phone (208) 524-5633.

Contact Information

Primary practice address
2035 E 17Th St Idaho Falls ID 83404-6430
Fax: (208) 524-1045
Website:
Authorized official contact:
Name: Andary, John Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M8490 Idaho

Profile Details

NPI number 1831368752
LBN Legal business name Shoulder & Knee Center, Pa
DBA Doing business as
Authorized official Andary, John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2008
Last updated Sep 2nd, 2008 - about 18 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 1831368752 NPPES
Idaho Other P00020270 TRAVELERS MEDICARE
Idaho MEDICAID 806411300 TRAVELERS MEDICARE
Idaho Other 000010139745 TRAVELERS MEDICARE

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