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
Phone: (208) 298-1022
Fax: (208) 746-8741
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679941553 | NPPES |
| Washington | MEDICAID | 1679941553 | |
| Washington | MEDICAID | 1679941553 |
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