Ajeti, Jeremy

Ajeti, Jeremy is an sole proprietor health care provider with primary practice located at 630 Addison Ave W Ste 1000 , Twin Falls ID 83301-5853. He recently has only one registered license in Agencies / Case Management, which is considered as his primary health care specialty. Ajeti, Jeremy can be contacted via phone (208) 736-5048.

Contact Information

Primary practice address
630 Addison Ave W Ste 1000 Twin Falls ID 83301-5853
Fax: (208) 735-2126
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1538832266
LBN Legal business name Ajeti, Jeremy
Credentials BS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2021
Last updated Jul 28th, 2021 - about 3 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 1538832266 NPPES
Idaho Other 2786392228 TREATMENT AND RECOVERY CENTER

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