Bunnell, Susan Lynn

Bunnell, Susan Lynn is an individual health care provider with primary practice located at 2280 E 25Th Street , Idaho Falls ID 83404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Bunnell, Susan Lynn can be contacted via phone (208) 227-2295.

Contact Information

Primary practice address
2280 E 25Th Street Idaho Falls ID 83404
Phone: (208) 227-2295
Fax: (208) 227-2364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 5576 South Dakota
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X M11154 Idaho

Profile Details

NPI number 1346216975
LBN Legal business name Bunnell, Susan Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Dec 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346216975 NPPES
Idaho MEDICAID 13426216975
Idaho Other 4994379
Idaho MEDICAID 7101880

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