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Contact Information

BRENNA HISE, MD
338 E BANNOCK ST
BOISE, ID83712-6207
 Phone: 208-336-0895
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for BRENNA HISE · (Female)

NPI # 1518191618
Status Active
Credentials MD
Entity Individual
Enumeration date 05/05/2009
Last updated 08/29/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A98935
Hospital affiliation(s)
  • ST LUKES REGIONAL MEDICAL CENTER - (Acute Care)
    190 EAST BANNOCK STREET
    BOISE, ID 83712
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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