Ninon Germain Md Pllc | |
413 N Allumbaugh St Ste 101 Boise ID 83704-9219 | |
(208) 323-1125 | |
(208) 323-9604 |
Full Name | Ninon Germain Md Pllc |
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Speciality | Psychiatry & Neurology |
Location | 413 N Allumbaugh St Ste 101, Boise, Idaho |
Authorized Official Name and Position | Alison Dunbar (REIMBURSEMENT MANAGER) |
Authorized Official Contact | 2083231125 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ninon Germain Md Pllc 413 N Allumbaugh St Ste 101 Boise ID 83704-9219 Ph: (208) 323-1125 | Ninon Germain Md Pllc 413 N Allumbaugh St Ste 101 Boise ID 83704-9219 Ph: (208) 323-1125 |
NPI Number | 1104135375 |
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Provider Enumeration Date | 10/05/2010 |
Last Update Date | 12/27/2010 |
Medicare PECOS PAC ID | 4688863814 |
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Medicare Enrollment ID | O20110104000816 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104135375 | NPI | - | NPPES |
1550780 | Other | ID | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | M8955 (Idaho) | Primary |
Provider Name | Ninon M Germain |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1588705560 PECOS PAC ID: 7214996131 Enrollment ID: I20041006001251 |
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