Stano, William Scott

Stano, William Scott is an sole proprietor health care provider with primary practice located at 220 W Jefferson St , Boise ID 83702-6044. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Stano, William Scott can be contacted via phone (208) 343-8907.

Contact Information

Primary practice address
220 W Jefferson St Boise ID 83702-6044
Fax: (208) 343-9161
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P114 Idaho

Profile Details

NPI number 1063426948
LBN Legal business name Stano, William Scott
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Jun 3rd, 2008 - about 17 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 1063426948 NPPES
Idaho Other 480004412 RAILROAD MEDICARE
Idaho MEDICAID 000448700 RAILROAD MEDICARE

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