Leask, Katie Jo
Leask, Katie Jo is an individual health care provider with primary practice located at 2375 Coronado St , Idaho Falls ID 83404-7407. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Lactation Consultant, Non-RN, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Leask, Katie Jo can be contacted via phone (208) 522-4600.Contact Information
Primary practice address
2375 Coronado St
Idaho Falls ID 83404-7407
Phone: (208) 522-4600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Lactation Consultant, Non-RN | 174N00000X | L-62086 | Idaho |
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | D-655 | Idaho |
Profile Details
| NPI number | 1235780990 |
|---|---|
| LBN Legal business name | Leask, Katie Jo |
| Credentials | RD, LD, IBCLC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2019 |
| Last updated | Sep 24th, 2019 - about 6 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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