Ronald W Alm
Foot Surgery Primary Podiatric Medicine
803 16th Ave
Lewiston
, Idaho 83501-3733
Ronald W Alm
Foot Surgery Primary Podiatric Medicine
803 16th Ave
Lewiston
, Idaho 83501-3733
(208) 743-5444
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About
Features
Specialties
- Primary Podiatric Medicine
- Foot Surgery
Languages spoken
- English
Location
First Address
- Ronald W Alm
- 803 16th Ave
- Lewiston, ID
- Zip : 83501-3733
- Fax : (208) 743-5444
- Phone : (208) 743-2091
Second Address
- Ronald W Alm
- 803 16th Ave
- Lewiston, ID
- Zip : 83501-3733
- Fax : (208) 743-5444
- Phone : (208) 743-2091
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Is Ronald W Alm a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | P127 | ID |
| N | 213ES0131X | Foot Surgery | P127 | ID |
National Provider Identifier
| NPI | 1033105275 |
|---|---|
| Provider Name | Ronald W Alm |
| First Address | Lewiston, ID 83501-3733 |
| Second Address | Lewiston, ID 83501-3733 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2005 |
| Last Update Date | 24/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0013290 | (05) | ID |
| 0064483 | L&I (01) | WA |
| 1048552 | WASHINGTON MEDICAID (01) | WA |
| T81724 | (02) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.