Scruggs, Thomas

Scruggs, Thomas is an individual health care provider with primary practice located at 3010 15Th Ave S , Great Falls MT 59405-5240. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Scruggs, Thomas can be contacted via phone (406) 216-8000.

Contact Information

Primary practice address
3010 15Th Ave S Great Falls MT 59405-5240
Phone: (406) 216-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X N-30039 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 101158 Montana

Profile Details

NPI number 1003847104
LBN Legal business name Scruggs, Thomas
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Apr 23rd, 2019 - 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 1003847104 NPPES
Idaho MEDICAID 805979900

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