Jelinek, John Adam

Jelinek, John Adam is an individual health care provider with primary practice located at 320 Warner Dr , Lewiston ID 83501-4441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Jelinek, John Adam can be contacted via phone (208) 743-3523.

Contact Information

Primary practice address
320 Warner Dr Lewiston ID 83501-4441
Phone: (208) 743-3523
Fax: (208) 746-8741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X M-10275 Idaho
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD 60001068 Washington

Profile Details

NPI number 1568410025
LBN Legal business name Jelinek, John Adam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jun 24th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568410025 NPPES
Washington Other 238312 WA DEPT OF LABOR & INDUSTRIES
Washington Other 77378 WA DEPT OF LABOR & INDUSTRIES
Washington MEDICAID 808097200 WA DEPT OF LABOR & INDUSTRIES
Washington MEDICAID 8517518 WA DEPT OF LABOR & INDUSTRIES

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