Wingerson, Eric A

Wingerson, Eric A is an sole proprietor health care provider with primary practice located at 1995 E 17Th St St. #4, Idaho Falls ID 83404-6493. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Wingerson, Eric A can be contacted via phone (208) 524-3939.

Contact Information

Primary practice address
1995 E 17Th St St. #4 Idaho Falls ID 83404-6493
Phone: (208) 524-3939
Fax: (208) 524-3950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MEDPHYSCOMLIC114155 Montana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0-122 Idaho

Profile Details

NPI number 1295738797
LBN Legal business name Wingerson, Eric A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2005
Last updated Jan 2nd, 2024 - about 2 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 1295738797 NPPES
Other 710949800 COMMERCIAL
MEDICAID 002708700 COMMERCIAL

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