Prince, Jean Marie

Prince, Jean Marie is an individual health care provider with primary practice located at 980 W Ironwood Dr Ste 302, Coeur D Alene ID 83814-2604. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Prince, Jean Marie can be contacted via phone (208) 292-5437.

Contact Information

Primary practice address
980 W Ironwood Dr Ste 302 Coeur D Alene ID 83814-2604
Phone: (208) 292-5437
Fax: (208) 292-5441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M-8499 Idaho

Profile Details

NPI number 1477552008
LBN Legal business name Prince, Jean Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Jul 12th, 2012 - about 14 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 1477552008 NPPES
Idaho MEDICAID 806329700

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