MS. MD Susan Lynn Bunnell, NPI 1346216975
Child & Adolescent Psychiatry Physician in Idaho Falls, ID, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1346216975 |
| NPI Entity Type | Individual |
| Provider Name | MS. MD Susan Lynn Bunnell |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 2280 E 25th Street, Idaho Falls, ID, US |
| Provider Mailing Address | 2280 E 25th Street, Idaho Falls, ID, US, 83404 |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Child & Adolescent Psychiatry Physician |
| Classification | |
| Group | |
| License No. | M11154 |
| License State | ID |
| Description | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 5576 | SD | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 13426216975 | ID | MEDICAID | 05 |
| 4994379 | SD | BCBS | 01 |
| 7101880 | SD | MEDICAID | 05 |
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