Womack, Noreen A.

Womack, Noreen A. is an individual health care provider with primary practice located at 450 W State St Suite 100, Eagle ID 83616-7057. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Womack, Noreen A. can be contacted via phone (208) 939-1035.

Contact Information

Primary practice address
450 W State St Suite 100 Eagle ID 83616-7057
Phone: (208) 939-1035
Fax: (208) 939-8970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M8127 Idaho

Profile Details

NPI number 1033154828
LBN Legal business name Womack, Noreen A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Sep 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033154828 NPPES
Idaho MEDICAID 805831200

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