Blum, Jerilynn
Blum, Jerilynn is an sole proprietor health care provider with primary practice located at 1510 Robert St Ste 102, Boise ID 83705-2528. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Blum, Jerilynn can be contacted via phone (208) 429-1865.Contact Information
Primary practice address
1510 Robert St Ste 102
Boise ID 83705-2528
Phone: (208) 429-1865
Fax: (208) 429-1865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCPC-3477 | Idaho |
Profile Details
| NPI number | 1437221710 |
|---|---|
| LBN Legal business name | Blum, Jerilynn |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Feb 14th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437221710 | NPPES |
| Idaho | Other | Q7106 | ID BLUE CROSS PROVIDER ID |
| Idaho | Other | 000010028621 | ID BLUE CROSS PROVIDER ID |
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