Mulert, Jeffrey L

Mulert, Jeffrey L is an individual health care provider with primary practice located at 2550 Addison Ave E Suite A, Twin Falls ID 83301-6749. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mulert, Jeffrey L can be contacted via phone (208) 814-7700.

Contact Information

Primary practice address
2550 Addison Ave E Suite A Twin Falls ID 83301-6749
Phone: (208) 814-7700
Fax: (208) 933-9301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M-10252 Idaho

Profile Details

NPI number 1790988509
LBN Legal business name Mulert, Jeffrey L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Feb 2nd, 2015 - 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 1790988509 NPPES
Idaho MEDICAID 1790988509
Idaho MEDICAID 808166700

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