Bunde, Cynthia Ann

Bunde, Cynthia Ann is an individual health care provider with primary practice located at 429 Washington Ave , Pocatello ID 83201-4520. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bunde, Cynthia Ann can be contacted via phone (208) 233-6245.

Contact Information

Primary practice address
429 Washington Ave Pocatello ID 83201-4520
Fax: (208) 233-1065
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-306 Idaho

Profile Details

NPI number 1417909862
LBN Legal business name Bunde, Cynthia Ann
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Aug 28th, 2015 - about 11 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 1417909862 NPPES
Idaho Other PAG74 BLUE CROSS OF IDAHO
Idaho MEDICAID 805811300 BLUE CROSS OF IDAHO
Idaho Other P00382898 BLUE CROSS OF IDAHO
Idaho Other 000010155655 BLUE CROSS OF IDAHO

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