Bushi, Stephen Thomas

Bushi, Stephen Thomas is an sole proprietor health care provider with primary practice located at 1902 Judith Ln Suite 110, Boise ID 83705-5209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Bushi, Stephen Thomas can be contacted via phone (208) 658-0800.

Contact Information

Primary practice address
1902 Judith Ln Suite 110 Boise ID 83705-5209
Phone: (208) 658-0800
Fax: (208) 323-1894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X M-5492 Idaho
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X M-5492 Idaho

Profile Details

NPI number 1356336648
LBN Legal business name Bushi, Stephen Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2005
Last updated Feb 13th, 2018 - about 6 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 1356336648 NPPES
Idaho MEDICAID 003533000

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