Tesnohlidek, Barbara J

Tesnohlidek, Barbara J is an individual health care provider with primary practice located at 338 E Bannock St , Boise ID 83712-6207. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Tesnohlidek, Barbara J can be contacted via phone (208) 336-0895.

Contact Information

Primary practice address
338 E Bannock St Boise ID 83712-6207
Fax: (208) 336-0895
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD18754 Oregon

Profile Details

NPI number 1568413052
LBN Legal business name Tesnohlidek, Barbara J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jun 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 1568413052 NPPES
Oregon MEDICAID 061833
Oregon MEDICAID 001277900
Oregon Other 006640003

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