Fountain, Janice Lynette
Fountain, Janice Lynette is an sole proprietor health care provider with primary practice located at 4110 N La Fontana Way , Boise ID 83702-1559. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Fountain, Janice Lynette can be contacted via phone (208) 867-9869.Contact Information
Primary practice address
4110 N La Fontana Way
Boise ID 83702-1559
Phone: (208) 867-9869
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 882 | Idaho |
Profile Details
| NPI number | 1609391952 |
|---|---|
| LBN Legal business name | Fountain, Janice Lynette |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2017 |
| Last updated | Jul 21st, 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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