Scott, Micah

Scott, Micah is an individual health care provider with primary practice located at 777 Hospital Way , Pocatello ID 83201-5175. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Scott, Micah can be contacted via phone (208) 239-1000.

Contact Information

Primary practice address
777 Hospital Way Pocatello ID 83201-5175
Phone: (208) 239-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 201040817RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RNA-873A Idaho

Profile Details

NPI number 1699078535
LBN Legal business name Scott, Micah
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2010
Last updated Feb 23rd, 2016 - about 9 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 1699078535 NPPES
Idaho MEDICAID 1699078535

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