Shappard, Scott Allen

Shappard, Scott Allen is an individual health care provider with primary practice located at 10255 W. Overland Rd , Boise ID 83709-1430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shappard, Scott Allen can be contacted via phone (208) 302-5600.

Contact Information

Primary practice address
10255 W. Overland Rd Boise ID 83709-1430
Phone: (208) 302-5600
Fax: (208) 302-5655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X O292 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X O-292 Idaho

Profile Details

NPI number 1649275587
LBN Legal business name Shappard, Scott Allen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 15th, 2016 - about 8 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 1649275587 NPPES
Idaho MEDICAID 806344300

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