Jacks, Shelley Marie
Jacks, Shelley Marie is an individual health care provider with primary practice located at 1055 N Curtis Rd , Boise ID 83706-1352. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Jacks, Shelley Marie can be contacted via phone (208) 367-6416.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | M7159 | Idaho |
Profile Details
| NPI number | 1679524920 |
|---|---|
| LBN Legal business name | Jacks, Shelley Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Apr 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679524920 | NPPES |
| Idaho | MEDICAID | 805793000 | |
| Idaho | Other | 050075060 |
Popular Providers
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Centeno, Robert M
111 W State St , Boise ID 83702-6127 -
Gold, Michael David
1055 N Curtis Rd , Boise ID 83706-1352 -
Tesnohlidek, Barbara J
338 E Bannock St , Boise ID 83712-6207 -
Jenkins, Jason Paul
1055 N Curtis Rd , Boise ID 83706-1352 -
Gaherty, Patricia Ann
1055 N Curtis Rd , Boise ID 83706-1352 -
Fox, Donald James
1055 N Curtis Rd , Boise ID 83706-1352 -
Voulelis, Louis D
190 E Bannock St , Boise ID 83712-6241 -
Reid, Steven Duane
1055 N Curtis Rd , Boise ID 83706-1352