Baillie, Jon-Eric

Baillie, Jon-Eric is an individual health care provider with primary practice located at 8100 W Emerald St Ste 180 , Boise ID 83704. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Baillie, Jon-Eric can be contacted via phone (208) 377-3299.

Contact Information

Primary practice address
8100 W Emerald St Ste 180 Boise ID 83704
Phone: (208) 377-3299
Fax: (208) 460-5227
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M7882 Idaho
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X M7882 Idaho

Profile Details

NPI number 1134139991
LBN Legal business name Baillie, Jon-Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated May 22nd, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134139991 NPPES
Idaho MEDICAID 805693500

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