Individual
DR. STEPHEN J. CHEYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
430 N BRIDGE ST, SAINT ANTHONY, ID 83445-1425
(208) 624-4402
(208) 624-4409
Mailing address
PO BOX 37, SAINT ANTHONY, ID 83445-0037
(208) 624-4402
(208) 624-4409
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
M4566
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010001973
BLUE SHIELD
ID
01
—
30279
DMBA
—
01
—
M45666
BLUE CROSS
ID
Enumeration date
01/15/2007
Last updated
07/08/2007
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