Kasumovic, Sandra

Kasumovic, Sandra is an individual health care provider with primary practice located at 3271 N Milwaukee St , Boise ID 83704-4425. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Kasumovic, Sandra can be contacted via phone (208) 996-1700.

Contact Information

Primary practice address
3271 N Milwaukee St Boise ID 83704-4425
Phone: (208) 996-1700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1136 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA1136 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1136 Idaho

Profile Details

NPI number 1780009506
LBN Legal business name Kasumovic, Sandra
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2014
Last updated Aug 26th, 2021 - about 5 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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