Smith, Cherish L

Smith, Cherish L is an individual health care provider with primary practice located at 300 E Jefferson St Suite 300, Boise ID 83712-6246. 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. Smith, Cherish L can be contacted via phone (208) 381-4100.

Contact Information

Primary practice address
300 E Jefferson St Suite 300 Boise ID 83712-6246
Phone: (208) 381-4100
Fax: (208) 381-4101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA385 Idaho

Profile Details

NPI number 1134199631
LBN Legal business name Smith, Cherish L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Nov 6th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134199631 NPPES
Idaho Other 000010149864 REGENCE BLUE SHIELD
Idaho Other PAVE5 REGENCE BLUE SHIELD
Idaho MEDICAID 806367900 REGENCE BLUE SHIELD
Idaho Other 40659 REGENCE BLUE SHIELD

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