Sayre, Cory James

Sayre, Cory James is an individual health care provider with primary practice located at 98 Poplar St , Blackfoot ID 83221. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Sayre, Cory James can be contacted via phone (208) 785-3830.

Contact Information

Primary practice address
98 Poplar St Blackfoot ID 83221
Phone: (208) 785-3830
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 56065 Idaho

Profile Details

NPI number 1821528084
LBN Legal business name Sayre, Cory James
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2017
Last updated Oct 9th, 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 1821528084 NPPES
Idaho MEDICAID 1821528084

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