Individual
CHARLES MICHAEL RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 S EAGLE RD, STE 2205, MERIDIAN, ID 83642-6308
(208) 884-0036
(208) 884-3805
Mailing address
1070 N CURTIS RD, STE 125, BOISE, ID 83706-1238
(208) 377-1415
(208) 375-3451
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M6484
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010147672
REGENCE BLUE SHIELD OF ID
—
01
—
59907
BLUE CROSS OF IDAHO
—
Enumeration date
07/17/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us