Ostermiller, Jeremy B

Ostermiller, Jeremy B is an individual health care provider with primary practice located at 320 Warner Drive , Lewiston ID 83501. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ostermiller, Jeremy B can be contacted via phone (208) 791-9889.

Contact Information

Primary practice address
320 Warner Drive Lewiston ID 83501
Phone: (208) 791-9889
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA435 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004462 Washington

Profile Details

NPI number 1437222528
LBN Legal business name Ostermiller, Jeremy B
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Dec 26th, 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 1437222528 NPPES
Washington MEDICAID 8358517
Washington Other 000010142606
Washington Other PALL2

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