Kusy, Bryant Judson
Kusy, Bryant Judson is an sole proprietor health care provider with primary practice located at 1243 E Iron Eagle Dr Ste 130D , Eagle ID 83616-6599. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Kusy, Bryant Judson can be contacted via phone (208) 391-7050.Contact Information
Primary practice address
1243 E Iron Eagle Dr Ste 130D
Eagle ID 83616-6599
Phone: (208) 391-7050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 5488 | Idaho |
Profile Details
| NPI number | 1851696033 |
|---|---|
| LBN Legal business name | Kusy, Bryant Judson |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2011 |
| Last updated | Jun 5th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851696033 | NPPES |
| New Mexico | MEDICAID | 61806854 |
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