Nevala, Jennifer Lynn

Nevala, Jennifer Lynn is an individual health care provider with primary practice located at 50 E James Court Suite A, Meridian ID 83642. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Nevala, Jennifer Lynn can be contacted via phone (208) 895-0715.

Contact Information

Primary practice address
50 E James Court Suite A Meridian ID 83642
Phone: (208) 895-0715
Fax: (208) 895-0746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT1430 Idaho

Profile Details

NPI number 1295702389
LBN Legal business name Nevala, Jennifer Lynn
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jul 8th, 2007 - about 19 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 1295702389 NPPES
Idaho MEDICAID 806804600

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