Reedy, Jacob C

Reedy, Jacob C is an individual health care provider with primary practice located at 1986 W. Hayden Ave , Hayden ID 83835-7412. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Reedy, Jacob C can be contacted via phone (208) 762-7760.

Contact Information

Primary practice address
1986 W. Hayden Ave Hayden ID 83835-7412
Phone: (208) 762-7760
Fax: (208) 762-7740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1010320 Texas

Profile Details

NPI number 1114530565
LBN Legal business name Reedy, Jacob C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2020
Last updated Dec 20th, 2023 - 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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