Cross, Scott G
Cross, Scott G is an individual health care provider with primary practice located at 3100 Channing Way , Idaho Falls ID 83404-7533. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Cross, Scott G can be contacted via phone (208) 535-4130.Contact Information
Primary practice address
3100 Channing Way
Idaho Falls ID 83404-7533
Phone: (208) 535-4130
Fax: (208) 535-4125
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 207PE0005X | M7984 | Idaho |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | M-7984 | Idaho |
Profile Details
NPI number | 1932186939 |
---|---|
LBN Legal business name | Cross, Scott G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 30th, 2005 |
Last updated | Jun 29th, 2010 - about 14 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 | 1932186939 | NPPES |
Idaho | Other | 58057 | BLUE CROSS |
Idaho | MEDICAID | 805777500 | BLUE CROSS |
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