Jon-Eric Baillie in Boise - Addiction Medicine
Jon-Eric Baillie - NPI 1134139991
Jon-Eric Baillie is a Addiction Medicine in Boise, Idaho. Jon-Eric Baillie practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Jon-Eric Baillie is 1134139991. The last update date is 2018-05-22.
Jon-Eric Baillie's current location address is 8100 W Emerald St Ste 180, Boise, Idaho. You can contact this provider via phone number 2083773299 and fax number 2084605227. The mailing address for Jon-Eric Baillie is 8100 W Emerald St Ste 180, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jon-Eric Baillie |
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Address | 8100 W Emerald St Ste 180, Boise, Idaho |
Phone Number | 2083773299 |
Fax Number | 2084605227 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1134139991 |
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Provider Enumeration Date | 2006-08-08 |
Last Updated Date | 2018-05-22 |
Provider Mailing Address Detail
Address | 8100 W Emerald St Ste 180 |
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City | Boise |
State | Idaho (ID) |
Post Code | 837049069 |
Phone Number | 2083773299 |
Fax Number | 2084605227 |
Provider's Primary Taxonomy Detail
Speciality | Addiction Medicine |
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Taxonomy | 207Qa0401X |
Licence No | M7882 |
Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
805693500 | ID | -- |
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What is the unique identifier code issued to Jon-Eric Baillie by the Centers for Medicare & Medicaid Services?
The Jon-Eric Baillie has been assigned the NPI (National Provider Identifier) 1134139991. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jon-Eric Baillie?
The Jon-Eric Baillie is situated at 8100 W Emerald St Ste 180, in the city of Boise, state of ID, with the zip code 837049069.
What is the Jon-Eric Baillie's specialty and taxonomy code?
The Jon-Eric Baillie's specialty is Addiction Medicine, and the corresponding taxonomy code is 207Qa0401X.
On what date did the Jon-Eric Baillie receive its 1134139991 assignment from the Centers for Medicare & Medicaid Services?
The Jon-Eric Baillie was assigned its 1134139991 by the Centers for Medicare & Medicaid Services on 2006-08-08.
When was the information regarding Jon-Eric Baillie most recently updated?
The details pertaining to the Jon-Eric Baillie, including its address, specialty, and other relevant information, were last refreshed on 2018-05-22.
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