Packer, Scott M

Packer, Scott M is an individual health care provider with primary practice located at 3100 Channing Way , Idaho Falls ID 83404-1647. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Packer, Scott M can be contacted via phone (208) 535-4130.

Contact Information

Primary practice address
3100 Channing Way Idaho Falls ID 83404-1647
Phone: (208) 535-4130
Fax: (208) 535-4125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M5990 Idaho
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X M5990 Idaho

Profile Details

NPI number 1275510661
LBN Legal business name Packer, Scott M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jul 8th, 2007 - about 18 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 1275510661 NPPES
Idaho Other 58180 BLUE CROSS
Idaho MEDICAID 3886500 BLUE CROSS

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