Schrader, Scott D
Schrader, Scott D is an sole proprietor health care provider with primary practice located at 650 Addison Ave W , Twin Falls ID 83301-5444. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Schrader, Scott D can be contacted via phone (208) 732-3429.Contact Information
Primary practice address
650 Addison Ave W
Twin Falls ID 83301-5444
Phone: (208) 732-3429
Fax: (208) 732-3220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-271 | Idaho |
Profile Details
| NPI number | 1740223148 |
|---|---|
| LBN Legal business name | Schrader, Scott D |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Dec 31st, 2009 - about 15 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 | 1740223148 | NPPES |
| Idaho | MEDICAID | 805592000 |
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