Wetherington, Jefferson Jackson

Wetherington, Jefferson Jackson is an sole proprietor health care provider with primary practice located at 600 N Robbins Rd Ste 200 , Boise ID 83702-4565. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Wetherington, Jefferson Jackson can be contacted via phone (616) 447-9996.

Contact Information

Primary practice address
600 N Robbins Rd Ste 200 Boise ID 83702-4565
Phone: (616) 447-9996
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2601001331 Michigan
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL 2738 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 10160747 Oregon
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X #13-0839 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT468 Idaho

Profile Details

NPI number 1992030803
LBN Legal business name Wetherington, Jefferson Jackson
Credentials MS, LAT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2009
Last updated Mar 19th, 2020 - about 6 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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