Bruce J Andersen Md Phd Pa

LBN: Bruce J Andersen Md Phd Pa
Bruce J Andersen Md Phd Pa is an health care organization with primary practice located at 6140 Curtisian Ave Suite 400, Boise ID 83704-8880. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Bruce J Andersen Md Phd Pa can be contacted via phone (208) 367-3500, or through Andersen, Bruce J via phone (208) 367-3500.

Contact Information

Primary practice address
6140 Curtisian Ave Suite 400 Boise ID 83704-8880
Phone: (208) 367-3500
Fax: (208) 367-2968
Website:
Map and Directions
Authorized official contact:
Name: Andersen, Bruce J MD PHD
Phone: (208) 367-3500

Health care specialties

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

Profile Details

NPI number 1851300503
LBN Legal business name Bruce J Andersen Md Phd Pa
DBA Doing business as
Authorized official Andersen, Bruce J MD PHD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2006
Last updated Mar 4th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851300503 NPPES
Idaho Other 72504 BLUE CROSS OF IDAHO
Idaho Other 145403 BLUE CROSS OF IDAHO
Idaho MEDICAID 805457400 BLUE CROSS OF IDAHO
Idaho Other 134024 BLUE CROSS OF IDAHO
Idaho Other 185529500 BLUE CROSS OF IDAHO
Idaho Other 000010026334 BLUE CROSS OF IDAHO
Idaho Other 8J703 BLUE CROSS OF IDAHO
Idaho MEDICAID 87732500 BLUE CROSS OF IDAHO

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