Deblieck, Jennifer Ann

Deblieck, Jennifer Ann is an individual health care provider with primary practice located at 13176 W Persimmon Ln , Boise ID 83713-1986. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Deblieck, Jennifer Ann can be contacted via phone (208) 939-5030.

Contact Information

Primary practice address
13176 W Persimmon Ln Boise ID 83713-1986
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X M7045 Idaho

Profile Details

NPI number 1861421240
LBN Legal business name Deblieck, Jennifer Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Aug 26th, 2010 - about 16 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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