Stephen T. Bushi, M.D.

LBN: Stephen T. Bushi, M.D.
Stephen T. Bushi, M.D. is an health care organization with primary practice located at 1902 Judith Ln Suite 110, Boise ID 83705-5235. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Stephen T. Bushi, M.D. can be contacted via phone (208) 658-0800, or through Wilkins, Lori A via phone (208) 658-0800.

Contact Information

Primary practice address
1902 Judith Ln Suite 110 Boise ID 83705-5235
Phone: (208) 658-0800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilkins, Lori A
Phone: (208) 658-0800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X M-5492 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-379A Idaho

Profile Details

NPI number 1306993597
LBN Legal business name Stephen T. Bushi, M.D.
DBA Doing business as
Authorized official Wilkins, Lori A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Jan 26th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306993597 NPPES
Idaho MEDICAID 003533000

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