Shuey, Yelena
Shuey, Yelena is an individual health care provider with primary practice located at 6533 Emerald Street , Boise ID 83704-8737. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Shuey, Yelena can be contacted via phone (208) 367-4170.Contact Information
Primary practice address
6533 Emerald Street
Boise ID 83704-8737
Phone: (208) 367-4170
Fax: (208) 367-8135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00860 | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-400 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | Idaho |
Profile Details
| NPI number | 1124029939 |
|---|---|
| LBN Legal business name | Shuey, Yelena |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jul 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124029939 | NPPES |
| Idaho | MEDICAID | 8078874900 | |
| Idaho | MEDICAID | 807884901 |
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