Radil, Jacob

Radil, Jacob is an individual health care provider with primary practice located at 520 S Eagle Rd Ste 1243 , Meridian ID 83642-6355. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Radil, Jacob can be contacted via phone (208) 333-2225.

Contact Information

Primary practice address
520 S Eagle Rd Ste 1243 Meridian ID 83642-6355
Phone: (208) 333-2225
Fax: (208) 706-7516
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LMSW # 33052 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-2126 Idaho

Profile Details

NPI number 1811337017
LBN Legal business name Radil, Jacob
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2013
Last updated Jan 17th, 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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