Wageman, Jesse Sue
Wageman, Jesse Sue is an sole proprietor health care provider with primary practice located at 4845 Yellowstone Ave , Chubbuck ID 83202-2333. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Wageman, Jesse Sue can be contacted via phone (208) 237-3900.Contact Information
Primary practice address
4845 Yellowstone Ave
Chubbuck ID 83202-2333
Phone: (208) 237-3900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | E3950 | Idaho |
Profile Details
| NPI number | 1598050445 |
|---|---|
| LBN Legal business name | Wageman, Jesse Sue |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2011 |
| Last updated | Nov 10th, 2014 - about 12 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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