Cushman, Roger David
Cushman, Roger David is an sole proprietor health care provider with primary practice located at 2302 E. Terry Street , Pocatello ID 83201. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Cushman, Roger David can be contacted via phone (208) 235-5910.Contact Information
Primary practice address
2302 E. Terry Street
Pocatello ID 83201
Phone: (208) 235-5910
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | GPA-034 | Idaho |
Profile Details
| NPI number | 1578742615 |
|---|---|
| LBN Legal business name | Cushman, Roger David |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2007 |
| Last updated | Oct 25th, 2007 - about 18 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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