Needham, Charles Scott

Needham, Charles Scott is an individual health care provider with primary practice located at 2805 Valencia Dr , Idaho Falls ID 83404-7597. 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. Needham, Charles Scott can be contacted via phone (208) 525-9400.

Contact Information

Primary practice address
2805 Valencia Dr Idaho Falls ID 83404-7597
Phone: (208) 525-9400
Fax: (208) 535-4569
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 10916 Montana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X M-12600 Idaho

Profile Details

NPI number 1063435899
LBN Legal business name Needham, Charles Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Dec 28th, 2020 - about 5 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 1063435899 NPPES
Wyoming Other 122226100 MDCD PIN
Wyoming Other 000092896 MDCD PIN
Wyoming Other 0151589 MDCD PIN

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