Hardy, Scott Russell
Hardy, Scott Russell is an individual health care provider with primary practice located at 37 S 2Nd E , Rexburg ID 83440-1906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hardy, Scott Russell can be contacted via phone (208) 356-0234.Contact Information
Primary practice address
37 S 2Nd E
Rexburg ID 83440-1906
Phone: (208) 356-0234
Fax: (208) 656-8444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | O-306 | Idaho |
Profile Details
| NPI number | 1750329629 |
|---|---|
| LBN Legal business name | Hardy, Scott Russell |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jun 1st, 2021 - about 3 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 | 1750329629 | NPPES |
| Idaho | MEDICAID | 1689769465 |
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