Cannon, Jared

Cannon, Jared is an individual health care provider with primary practice located at 960 S Broadway Ave , Boise ID 83706-3600. He recently has only one registered license in Nursing Service Providers / Case Management, which is considered as his primary health care specialty. Cannon, Jared can be contacted via phone (208) 780-6255.

Contact Information

Primary practice address
960 S Broadway Ave Boise ID 83706-3600
Phone: (208) 780-6255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 50699 Idaho

Profile Details

NPI number 1114657202
LBN Legal business name Cannon, Jared
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2022
Last updated Jun 13th, 2022 - about 2 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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