Thueson, Kaden J

Thueson, Kaden J is an individual health care provider with primary practice located at 320 Warner Dr , Lewiston ID 83501-4441. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Thueson, Kaden J can be contacted via phone (208) 298-1022.

Contact Information

Primary practice address
320 Warner Dr Lewiston ID 83501-4441
Fax: (208) 746-8741
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-1272 Idaho

Profile Details

NPI number 1679941553
LBN Legal business name Thueson, Kaden J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2015
Last updated Jun 24th, 2016 - about 10 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 1679941553 NPPES
Washington MEDICAID 1679941553
Washington MEDICAID 1679941553

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