Alexis E Shanahan in Boise - Internal Medicine
Alexis E Shanahan - NPI 1376665471
Alexis E Shanahan is a Internal Medicine in Boise, Idaho. Alexis E Shanahan practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Alexis E Shanahan is 1376665471. The last update date is 2014-02-04.
Alexis E Shanahan's current location address is 190 E Bannock St, Boise, Idaho. You can contact this provider via phone number 2083815015. The mailing address for Alexis E Shanahan is 190 E Bannock St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alexis E Shanahan |
|---|---|
| Address | 190 E Bannock St, Boise, Idaho |
| Phone Number | 2083815015 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1376665471 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2014-02-04 |
Provider Mailing Address Detail
| Address | 190 E Bannock St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837126241 |
| Phone Number | 2083815015 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 47626 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1376665471 | WY | -- | |
| 1376665471 | ID | -- | |
| 91081858 | NM | -- | |
| 98175092 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Alexis E Shanahan by the Centers for Medicare & Medicaid Services?
The Alexis E Shanahan has been assigned the NPI (National Provider Identifier) 1376665471 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Alexis E Shanahan is located?
The Alexis E Shanahan is situated at the following address: 190 E Bannock St, Boise, ID, 837126241.
What is Alexis E Shanahan's area of expertise and its corresponding taxonomy classification?
The Alexis E Shanahan's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376665471 to Alexis E Shanahan?
The Centers for Medicare & Medicaid Services originally issued the 1376665471 to Alexis E Shanahan on 2007-04-06.
As of what date were the details related to Alexis E Shanahan most recently updated or revised?
The information pertaining to Alexis E Shanahan, including its address, specialty, and other relevant details, was last updated or revised on 2014-02-04.
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