Jefferson, Sonnie L

Jefferson, Sonnie L is an sole proprietor health care provider with primary practice located at 409 1St St E , Hansen ID 83334-4917. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Jefferson, Sonnie L can be contacted via phone (208) 423-5779.

Contact Information

Primary practice address
409 1St St E Hansen ID 83334-4917
Phone: (208) 423-5779
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1710288246
LBN Legal business name Jefferson, Sonnie L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2010
Last updated Nov 15th, 2010 - 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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