Carrigan, Brian
Carrigan, Brian is an individual health care provider with primary practice located at 326 Poplar St , Blackfoot ID 83221-1741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carrigan, Brian can be contacted via phone (208) 785-5801.Contact Information
Primary practice address
326 Poplar St
Blackfoot ID 83221-1741
Phone: (208) 785-5801
Fax: (208) 785-3504
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M-5414 | Idaho |
Profile Details
NPI number | 1457300279 |
---|---|
LBN Legal business name | Carrigan, Brian |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 9th, 2006 |
Last updated | Jul 30th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457300279 | NPPES |
Idaho | Other | 000010002534 | REGENCE BLUE SHIELD |
Idaho | Other | 76963 | REGENCE BLUE SHIELD |
Idaho | Other | 74161 | REGENCE BLUE SHIELD |
Idaho | Other | 313146 | REGENCE BLUE SHIELD |
Idaho | MEDICAID | 003646800 | REGENCE BLUE SHIELD |
Idaho | Other | 266529 | REGENCE BLUE SHIELD |
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