Green, Janiel J

Green, Janiel J is an individual health care provider with primary practice located at 36 Professional Plz Suite #102, Rexburg ID 83440-2049. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Green, Janiel J can be contacted via phone (208) 356-0234.

Contact Information

Primary practice address
36 Professional Plz Suite #102 Rexburg ID 83440-2049
Phone: (208) 356-0234
Fax: (208) 656-8444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-957 Idaho

Profile Details

NPI number 1114297660
LBN Legal business name Green, Janiel J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2011
Last updated Dec 30th, 2011 - about 15 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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