Ford, Jennifer K

Ford, Jennifer K is an individual health care provider with primary practice located at 605 11Th Ave E , Gooding ID 83330-5368. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ford, Jennifer K can be contacted via phone (208) 934-8461.

Contact Information

Primary practice address
605 11Th Ave E Gooding ID 83330-5368
Phone: (208) 934-8461
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 10245 Idaho
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11659 Idaho

Profile Details

NPI number 1558818906
LBN Legal business name Ford, Jennifer K
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2016
Last updated Nov 7th, 2019 - 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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