Smith, Jeffrey D

Smith, Jeffrey D is an individual health care provider with primary practice located at 7979 W Rifleman St , Boise ID 83704-9066. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Smith, Jeffrey D can be contacted via phone (208) 989-0598.

Contact Information

Primary practice address
7979 W Rifleman St Boise ID 83704-9066
Phone: (208) 989-0598
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X PA383 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-383 Idaho

Profile Details

NPI number 1013905793
LBN Legal business name Smith, Jeffrey D
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Sep 12th, 2016 - about 10 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 1013905793 NPPES
Idaho MEDICAID 806233100

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