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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306993597 | NPPES |
| Idaho | MEDICAID | 003533000 |
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