Heaton, Janeil M
Heaton, Janeil M is an individual health care provider with primary practice located at 215 N Whitley Dr Suite 1, Fruitland ID 83619-2705. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Heaton, Janeil M can be contacted via phone (208) 452-6366.Contact Information
Primary practice address
215 N Whitley Dr Suite 1
Fruitland ID 83619-2705
Phone: (208) 452-6366
Fax: (208) 452-6399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT1882 | Idaho |
Profile Details
| NPI number | 1245205665 |
|---|---|
| LBN Legal business name | Heaton, Janeil M |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Jul 1st, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245205665 | NPPES |
| Idaho | MEDICAID | 806985500 |
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