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Contact Information

BENJAMIN J MORRISSEY, MD
190 E BANNOCK ST
BOISE, ID83712
 Phone: 208-706-5850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for BENJAMIN J MORRISSEY · (Male)

NPI # 1730441536
Status Active
Credentials MD
Entity Individual
Enumeration date 06/08/2012
Last updated 06/11/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # M14183
  • ID Medicaid 1730441536
Hospital affiliation(s)
  • ST LUKE'S ELMORE MEDICAL CENTER - (Critical Access)
    895 NORTH 6TH EAST
    MOUNTAIN HOME, ID 83647
  • ST LUKES REGIONAL MEDICAL CENTER - (Acute Care)
    190 EAST BANNOCK STREET
    BOISE, ID 83712
  • ST LUKES WOOD RIVER MEDICAL CENTER - (Critical Access)
    100 HOSPITAL DRIVE
    KETCHUM, ID 83340
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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