Christensen, Scott L
Christensen, Scott L is an sole proprietor health care provider with primary practice located at 333 N 1St St Ste 260 , Boise ID 83702-6132. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Christensen, Scott L can be contacted via phone (208) 345-3136.Contact Information
Primary practice address
333 N 1St St Ste 260
Boise ID 83702-6132
Phone: (208) 345-3136
Fax: (208) 345-0984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | M7991 | Idaho |
Profile Details
| NPI number | 1386672228 |
|---|---|
| LBN Legal business name | Christensen, Scott L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1386672228 | NPPES |
| Idaho | MEDICAID | 805748600 | |
| Idaho | Other | 37184 | |
| Idaho | Other | 000010028712 |
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