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Contact Information

HENRY M ADAMS, CRNA
1485 PARKWAY DR
BLACKFOOT, ID83221-1667
 Phone: 208-785-5100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for HENRY M ADAMS · (Male)

NPI Number 1497833537
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 11/02/2006
Last updated 12/09/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • ID License # RNA362
  • ID Medicaid 1497833537
Hospital affiliation(s) Not Available
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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