White, Janean

White, Janean is an sole proprietor health care provider with primary practice located at 200 S Main St , Pocatello ID 83204-3261. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Technician/Technologist, Nursing Service Related Providers / Technician. Nursing Service Related Providers / Technician is her primary health care specialty. White, Janean can be contacted via phone (208) 251-7289.

Contact Information

Primary practice address
200 S Main St Pocatello ID 83204-3261
Phone: (208) 251-7289
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Technician/Technologist 156F00000X EEI232029 Idaho
Nursing Service Related Providers / Technician 374700000X EEI232029 Idaho

Profile Details

NPI number 1124788153
LBN Legal business name White, Janean
Credentials ELECTROLOGIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2021
Last updated Dec 17th, 2021 - about 5 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 1124788153 NPPES
Idaho Other EEI232029 BUREAU OF OCCUPATIONAL LISCENSE
Idaho Other EEI232029 BUREAU OF OCCUPATIONAL LISCENSE

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