Blough, Susan Leigh
Blough, Susan Leigh is an individual health care provider with primary practice located at 701 E Parkcenter Blvd , Boise ID 83706-6528. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Blough, Susan Leigh can be contacted via phone (208) 381-6400.Contact Information
Primary practice address
701 E Parkcenter Blvd
Boise ID 83706-6528
Phone: (208) 381-6400
Fax: (208) 381-6450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M4556 | Idaho |
Profile Details
| NPI number | 1336197870 |
|---|---|
| LBN Legal business name | Blough, Susan Leigh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Jan 7th, 2011 - about 13 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 | 1336197870 | NPPES |
| Idaho | MEDICAID | 002251800 |
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