Cushman, Austin R
Cushman, Austin R is an sole proprietor health care provider with primary practice located at 901 N Curtis Rd Ste 103 , Boise ID 83706-1339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cushman, Austin R can be contacted via phone (208) 367-2670.Contact Information
Primary practice address
901 N Curtis Rd Ste 103
Boise ID 83706-1339
Phone: (208) 367-2670
Fax: (208) 367-2673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M4521 | Idaho |
Profile Details
| NPI number | 1336290915 |
|---|---|
| LBN Legal business name | Cushman, Austin R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1336290915 | NPPES |
| Idaho | Other | 000010003661 | BLUE SHIELD OF IDAHO |
| Idaho | Other | 4521-1 | BLUE SHIELD OF IDAHO |
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