Blue, Michael Stuart

Blue, Michael Stuart is an individual health care provider with primary practice located at 2315 8Th St , Lewiston ID 83501-7301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blue, Michael Stuart can be contacted via phone (208) 746-1383.

Contact Information

Primary practice address
2315 8Th St Lewiston ID 83501-7301
Phone: (208) 746-1383
Fax: (208) 746-6348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 42482 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X O-1138 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP60271117 Washington

Profile Details

NPI number 1558309393
LBN Legal business name Blue, Michael Stuart
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Apr 13th, 2018 - about 8 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 1558309393 NPPES
Washington MEDICAID 1558309393
Washington MEDICAID 1558309393

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