Stillwagon, Nathan T

Stillwagon, Nathan T is an individual health care provider with primary practice located at 2963 E Copper Point Dr , Meridian ID 83642-9055. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Stillwagon, Nathan T can be contacted via phone (208) 322-1730.

Contact Information

Primary practice address
2963 E Copper Point Dr Meridian ID 83642-9055
Phone: (208) 322-1730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD184107 Oregon
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M-11728 Idaho

Profile Details

NPI number 1750511168
LBN Legal business name Stillwagon, Nathan T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2009
Last updated Sep 25th, 2017 - about 8 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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