Burgstahler, Scott

Burgstahler, Scott is an individual health care provider with primary practice located at 207 Church St , Sandpoint ID 83864-1342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Burgstahler, Scott can be contacted via phone (208) 263-6876.

Contact Information

Primary practice address
207 Church St Sandpoint ID 83864-1342
Fax: (208) 263-2033
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M5470 Idaho

Profile Details

NPI number 1871547323
LBN Legal business name Burgstahler, Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Aug 20th, 2020 - about 6 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 1871547323 NPPES
Idaho Other 54700 PIN
Idaho Other 000010003647 PIN
Idaho MEDICAID 003603300 PIN

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