<Unavail>

LBN: St Michael Nephrology, Pllc
<Unavail> is an health care organization with primary practice located at 1674 S Loggers Pond Pl Apt 14 , Boise ID 83706-7517. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. St Michael Nephrology, Pllc can be contacted via phone (986) 200-8202, or through Dytiapco, Ernest Daniel Moreno via phone (986) 200-8202.

Contact Information

Primary practice address
1674 S Loggers Pond Pl Apt 14 Boise ID 83706-7517
Phone: (986) 200-8202
Fax: (626) 593-4751
Website:
Map and Directions
Authorized official contact:
Name: Dytiapco, Ernest Daniel Moreno Doctor of Medicine (MD)
Phone: (986) 200-8202

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1144887050
LBN Legal business name St Michael Nephrology, Pllc
DBA Doing business as <Unavail>
Authorized official Dytiapco, Ernest Daniel Moreno Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2019
Last updated Jul 14th, 2019 - about 7 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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