Wald, David A

Wald, David A is an sole proprietor health care provider with primary practice located at 1055 N Curtis Road , Boise ID 83706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Wald, David A can be contacted via phone (208) 367-4030.

Contact Information

Primary practice address
1055 N Curtis Road Boise ID 83706
Phone: (208) 367-4030
Fax: (208) 367-4051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME 83180 Florida
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X M-14009 Idaho

Profile Details

NPI number 1205859535
LBN Legal business name Wald, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jan 25th, 2018 - about 7 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 1205859535 NPPES
Florida MEDICAID 264726500

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