Tesnohlidek, Dwaine Anthony
Tesnohlidek, Dwaine Anthony is an individual health care provider with primary practice located at 1210 Nw 16Th St , Fruitland ID 83619-2202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tesnohlidek, Dwaine Anthony can be contacted via phone (208) 452-8600.Contact Information
Primary practice address
1210 Nw 16Th St
Fruitland ID 83619-2202
Phone: (208) 452-8600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD18758 | Oregon |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M6508 | Idaho |
Profile Details
| NPI number | 1437240009 |
|---|---|
| LBN Legal business name | Tesnohlidek, Dwaine Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Sep 18th, 2012 - about 14 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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