Provider Demographics
NPI:1255656799
Name:CUTLER CASEMANAGEMENT
Entity Type:Organization
Organization Name:CUTLER CASEMANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:CUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:208-681-9178
Mailing Address - Street 1:1398 SEDERO LN
Mailing Address - Street 2:
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83204-7417
Mailing Address - Country:US
Mailing Address - Phone:208-681-9178
Mailing Address - Fax:208-237-9262
Practice Address - Street 1:1398 SEDERO LN
Practice Address - Street 2:
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83204-7417
Practice Address - Country:US
Practice Address - Phone:208-681-9178
Practice Address - Fax:208-237-9262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-27
Last Update Date:2010-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID26814251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management