Hiatt, Scott R

Hiatt, Scott R is an individual health care provider with primary practice located at 1524 12Th Ave Rd , Nampa ID 83686-6008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Hiatt, Scott R can be contacted via phone (208) 463-5050.

Contact Information

Primary practice address
1524 12Th Ave Rd Nampa ID 83686-6008
Phone: (208) 463-5050
Fax: (208) 463-5040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X O289 Idaho

Profile Details

NPI number 1093705030
LBN Legal business name Hiatt, Scott R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated May 21st, 2014 - 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 1093705030 NPPES
Idaho Other 000010149338 BLUE SHIELD
Idaho Other S5486 BLUE SHIELD
Idaho MEDICAID 806467500 BLUE SHIELD

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