Anton, Jacquelyne Renee

Anton, Jacquelyne Renee is an sole proprietor health care provider with primary practice located at 4100 E Wildhorse Ln , Boise ID 83712-7593. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Anton, Jacquelyne Renee can be contacted via phone (704) 608-1568.

Contact Information

Primary practice address
4100 E Wildhorse Ln Boise ID 83712-7593
Phone: (704) 608-1568
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X PSG-055 Idaho

Profile Details

NPI number 1720450067
LBN Legal business name Anton, Jacquelyne Renee
Credentials NBC-HWC AND M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2015
Last updated Jan 24th, 2022 - about 4 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.

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