Petrick, Jared

Petrick, Jared is an individual health care provider with primary practice located at 2003 Kootenai Health Way , Coeur D Alene ID 83814. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Petrick, Jared can be contacted via phone (208) 625-4870.

Contact Information

Primary practice address
2003 Kootenai Health Way Coeur D Alene ID 83814
Phone: (208) 625-4870
Fax: (208) 625-4878
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 357288-4408 Utah
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP60612 Idaho

Profile Details

NPI number 1932114618
LBN Legal business name Petrick, Jared
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated May 1st, 2024 - about 2 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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