Mortensen, H. Scott
Mortensen, H. Scott is an individual health care provider with primary practice located at 49 E 1St S , Rexburg ID 83440-1966. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mortensen, H. Scott can be contacted via phone (208) 356-4444.Contact Information
Primary practice address
49 E 1St S
Rexburg ID 83440-1966
Phone: (208) 356-4444
Fax: (208) 356-4445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-0654 | Idaho |
Profile Details
| NPI number | 1346286549 |
|---|---|
| LBN Legal business name | Mortensen, H. Scott |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Aug 26th, 2008 - about 16 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 | 1346286549 | NPPES |
| Idaho | MEDICAID | 002488500 |
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