Painter, Jill Suzanne
Painter, Jill Suzanne is an sole proprietor health care provider with primary practice located at 1591 N Mansfield Pl , Eagle ID 83616-6649. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Painter, Jill Suzanne can be contacted via phone (408) 865-1365.Contact Information
Primary practice address
1591 N Mansfield Pl
Eagle ID 83616-6649
Phone: (408) 865-1365
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT-2451 | Idaho |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 10422 | California |
Profile Details
| NPI number | 1508332958 |
|---|---|
| LBN Legal business name | Painter, Jill Suzanne |
| Credentials | MS, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2018 |
| Last updated | Jun 20th, 2022 - about 4 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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