Bruce J Andersen Md Phd Pa
LBN: Bruce J Andersen Md Phd Pa
Bruce J Andersen Md Phd Pa is an health care organization with primary practice located at 6140 Curtisian Ave Suite 400, Boise ID 83704-8880. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty.
Bruce J Andersen Md Phd Pa can be contacted via phone (208) 367-3500, or through Andersen, Bruce J via phone (208) 367-3500.
Contact Information
Primary practice address
6140 Curtisian Ave Suite 400
Boise ID 83704-8880
Phone: (208) 367-3500
Fax: (208) 367-2968
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | M7767 | Idaho |
Profile Details
| NPI number | 1851300503 |
|---|---|
| LBN Legal business name | Bruce J Andersen Md Phd Pa |
| DBA Doing business as | |
| Authorized official | Andersen, Bruce J MD PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Mar 4th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851300503 | NPPES |
| Idaho | Other | 72504 | BLUE CROSS OF IDAHO |
| Idaho | Other | 145403 | BLUE CROSS OF IDAHO |
| Idaho | MEDICAID | 805457400 | BLUE CROSS OF IDAHO |
| Idaho | Other | 134024 | BLUE CROSS OF IDAHO |
| Idaho | Other | 185529500 | BLUE CROSS OF IDAHO |
| Idaho | Other | 000010026334 | BLUE CROSS OF IDAHO |
| Idaho | Other | 8J703 | BLUE CROSS OF IDAHO |
| Idaho | MEDICAID | 87732500 | BLUE CROSS OF IDAHO |
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