Henson, Scott A.
Henson, Scott A. is an individual health care provider with primary practice located at 3399 E. Louise Dr. #400, Meridian ID 83642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Henson, Scott A. can be contacted via phone (208) 364-3000.Contact Information
Primary practice address
3399 E. Louise Dr. #400
Meridian ID 83642
Phone: (208) 364-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M7975 | Idaho |
Profile Details
| NPI number | 1023060258 |
|---|---|
| LBN Legal business name | Henson, Scott A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Aug 9th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023060258 | NPPES |
| Idaho | Other | M7975 | STATE LICENSE # |
| Idaho | MEDICAID | 805748100 | STATE LICENSE # |
| Idaho | Other | 020445995 | STATE LICENSE # |
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