Ostermiller, Jared Ryan

Ostermiller, Jared Ryan is an individual health care provider with primary practice located at 242 E 7Th N Ste 4, Rexburg ID 83440-3550. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ostermiller, Jared Ryan can be contacted via phone (208) 359-9683.

Contact Information

Primary practice address
242 E 7Th N Ste 4 Rexburg ID 83440-3550
Phone: (208) 359-9683
Fax: (208) 359-0889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-1351 Idaho

Profile Details

NPI number 1760505747
LBN Legal business name Ostermiller, Jared Ryan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Aug 24th, 2018 - about 8 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 1760505747 NPPES
Idaho MEDICAID 806530400
Idaho MEDICAID 806867300
Idaho Other 000010146334
Idaho Other L3688

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