Gotto, Jennifer G.

Gotto, Jennifer G. is an individual health care provider with primary practice located at 2328 N Towerview Ln , Boise ID 83702-6518. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gotto, Jennifer G. can be contacted via phone (626) 578-4010.

Contact Information

Primary practice address
2328 N Towerview Ln Boise ID 83702-6518
Phone: (626) 578-4010
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A73025 California

Profile Details

NPI number 1518941459
LBN Legal business name Gotto, Jennifer G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Apr 5th, 2013 - about 13 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 1518941459 NPPES
California Other A73025 MED. LICENSE
California Other D3079847 MED. LICENSE

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