Gudmunson, Jamie

Gudmunson, Jamie is an individual health care provider with primary practice located at 30 W Main St , Saint Anthony ID 83445-2113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gudmunson, Jamie can be contacted via phone (208) 624-2969.

Contact Information

Primary practice address
30 W Main St Saint Anthony ID 83445-2113
Phone: (208) 624-2969
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-1574A Idaho

Profile Details

NPI number 1669853719
LBN Legal business name Gudmunson, Jamie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2015
Last updated Jan 2nd, 2023 - about 3 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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