Jeppson, John D

Jeppson, John D is an individual health care provider with primary practice located at 901 N Curtis Rd Suite 100, Boise ID 83706-1394. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Jeppson, John D can be contacted via phone (208) 378-0080.

Contact Information

Primary practice address
901 N Curtis Rd Suite 100 Boise ID 83706-1394
Fax: (208) 378-0259
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X M-6607 Idaho

Profile Details

NPI number 1417943622
LBN Legal business name Jeppson, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Feb 28th, 2014 - about 12 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 1417943622 NPPES
Idaho MEDICAID 1215061734

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