Treasure Valley Occupational Medicine
Organization Active NPI Occupational Medicine Physician · Boise, ID
NPI 1497211148 · NPPES record last updated Feb 19, 2019
Key facts
- NPI
- 1497211148
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Medicine Physician 2083X0100X
- Legal business name
- TREASURE VALLEY OCCUPATIONAL MEDICINE
- Practice address
- 8800 W Emerald St Ste 196
Boise, ID 83704-8205 - Phone
- (208) 375-1105
- Fax
- (208) 377-7707
- NPI assigned
- Feb 19, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Kevin J Chicoine, MD
- Title
- Owner
- Phone
- (208) 375-1105
Practitioners 7
-
Lynette Joy Ages, NP
-
Denise R Bahadar, NP
-
Alex P Casebolt, PA
-
Jon C Morris, PT ATC
National Provider Directory
Locations
8800 W Emerald St
Ste 196
Boise, ID 83704
Phone (208) 375-1105
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician |
2083X0100X | Yes |
Addresses
Primary practice location
8800 W Emerald St Ste 196
Boise, ID 83704-8205
Mailing address
8800 W Emerald St Ste 196
Boise, ID 83704-8205
Phone (208) 375-1105
Other providers in Boise, ID
- Treasure Valley Hospital Limited Partnership
- Treasure Valley Mental Health
- Treasure Valley Mental Health, LLC
- Treasure Valley Midwives, LLC
- Treasure Valley Neuropathy Relief Center PC
- Treasure Valley Oral and Facial Surgery PLLC
- Treasure Valley Pediatric Dentistry
- Treasure Valley Periodontics
- Treasure Valley Podiatry, Inc
- Treasure Valley Rossiter, LLC
All providers in Boise, ID · Occupational Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.