Main Street Medical Llc, NPI 1134274103
Family Medicine Physician in Bonners Ferry, ID, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1134274103
NPI Entity Type Organization
Provider Name Main Street Medical Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 6641 Kaniksu St, Suite A, Bonners Ferry, ID, US
Provider Mailing Address Po Box 1640, Bonners Ferry, ID, US, 838051640
Is Sole Proprietor? No
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Organization Official

Official Name DR. MD Chuck Newhouse
Official Position OWNER
Phone 208-265-3655

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207Q00000X

Taxonomy Name Family Medicine Physician
Classification

Family Medicine

Group

Allopathic & Osteopathic Physicians

License No. M-7989
License State ID
Description Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

Main Street Medical Llc
6641 Kaniksu St
Suite A

Bonners Ferry, ID, US

Phone: 208-265-3655
Fax: 208-267-3757

Mailing Address

Main Street Medical Llc
Po Box 1640
Bonners Ferry, ID, US
ZIP 838051640
Phone: 208-265-3655
Fax: 208-267-3757

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