Herd, Richard Scott
Herd, Richard Scott is an sole proprietor health care provider with primary practice located at 2537 W State St Ste 200 , Boise ID 83702-2200. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Herd, Richard Scott can be contacted via phone (541) 206-7254.Contact Information
Primary practice address
2537 W State St Ste 200
Boise ID 83702-2200
Phone: (541) 206-7254
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 105758 | Minnesota |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 54442 | Minnesota |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | MD171345 | Oregon |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | M-13403 | Idaho |
Profile Details
| NPI number | 1629393335 |
|---|---|
| LBN Legal business name | Herd, Richard Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2010 |
| Last updated | Jan 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629393335 | NPPES |
| Iowa | MEDICAID | ENROLLED | |
| Iowa | MEDICAID | ENROLLED |
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