Wilson, Jdee Ryan
Wilson, Jdee Ryan is an individual health care provider with primary practice located at 700 E Alice St State Hospital South, Blackfoot ID 83221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wilson, Jdee Ryan can be contacted via phone (208) 785-1200.Contact Information
Primary practice address
700 E Alice St State Hospital South
Blackfoot ID 83221
Phone: (208) 785-1200
Fax: (208) 785-8516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | M9137 | Idaho |
Profile Details
| NPI number | 1598828816 |
|---|---|
| LBN Legal business name | Wilson, Jdee Ryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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