Henson, Scott A.

Henson, Scott A. is an individual health care provider with primary practice located at 3399 E. Louise Dr. #400, Meridian ID 83642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Henson, Scott A. can be contacted via phone (208) 364-3000.

Contact Information

Primary practice address
3399 E. Louise Dr. #400 Meridian ID 83642
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M7975 Idaho

Profile Details

NPI number 1023060258
LBN Legal business name Henson, Scott A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Aug 9th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023060258 NPPES
Idaho Other M7975 STATE LICENSE #
Idaho MEDICAID 805748100 STATE LICENSE #
Idaho Other 020445995 STATE LICENSE #

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