Swanson, Joel C

Swanson, Joel C is an individual health care provider with primary practice located at 323 E Riverside Dr, Suite 224 Samg Ehp Family Medicine, Eagle ID 83616-6815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Swanson, Joel C can be contacted via phone (208) 302-6000.

Contact Information

Primary practice address
323 E Riverside Dr, Suite 224 Samg Ehp Family Medicine Eagle ID 83616-6815
Phone: (208) 302-6000
Fax: (208) 302-6055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M8006 Idaho

Profile Details

NPI number 1013956705
LBN Legal business name Swanson, Joel C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Nov 15th, 2016 - about 10 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 1013956705 NPPES
Idaho MEDICAID 805814100

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