Vinsonhaler, Scott

Vinsonhaler, Scott is an individual health care provider with primary practice located at 7550 W Emerald St , Boise ID 83704-9015. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Vinsonhaler, Scott can be contacted via phone (208) 375-0666.

Contact Information

Primary practice address
7550 W Emerald St Boise ID 83704-9015
Phone: (208) 375-0666
Fax: (208) 375-2996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-1840 Idaho

Profile Details

NPI number 1871536854
LBN Legal business name Vinsonhaler, Scott
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - 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 1871536854 NPPES
Idaho Other TD330 BLUE CROSS OF IDAHO
Idaho Other 000010153446 BLUE CROSS OF IDAHO
Idaho MEDICAID 80736000 BLUE CROSS OF IDAHO

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