Traynor, Matthew P

Traynor, Matthew P is an sole proprietor health care provider with primary practice located at 2100 Providence Way , Idaho Falls ID 83404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is his primary health care specialty. Traynor, Matthew P can be contacted via phone (208) 529-6600.

Contact Information

Primary practice address
2100 Providence Way Idaho Falls ID 83404
Phone: (208) 529-6600
Fax: (208) 529-6602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M-10686 Idaho
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 24632 Oklahoma
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X M-10686 Idaho

Profile Details

NPI number 1063563823
LBN Legal business name Traynor, Matthew P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Feb 21st, 2023 - about 3 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 1063563823 NPPES
Idaho MEDICAID 808405700

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