Andersen, Bruce J

Andersen, Bruce J is an individual health care provider with primary practice located at 1072 N Liberty St Suite 303, Boise ID 83704-2800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Andersen, Bruce J can be contacted via phone (208) 367-4035.

Contact Information

Primary practice address
1072 N Liberty St Suite 303 Boise ID 83704-2800
Phone: (208) 367-4035
Fax: (208) 367-7111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X M7767 Idaho
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X M-7767 Idaho

Profile Details

NPI number 1063420792
LBN Legal business name Andersen, Bruce J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Feb 17th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063420792 NPPES
Other 72504 BLUE CROSS OF IDAHO
Other 134024 BLUE CROSS OF IDAHO
MEDICAID 805457400 BLUE CROSS OF IDAHO
MEDICAID 807732500 BLUE CROSS OF IDAHO
Other 185529500 BLUE CROSS OF IDAHO
Other 145403 BLUE CROSS OF IDAHO
Other 000010026334 BLUE CROSS OF IDAHO
Other 8J703 BLUE CROSS OF IDAHO

Popular Providers