Cook, Jennifer Kloss
Cook, Jennifer Kloss is an individual health care provider with primary practice located at 325 W Idaho St , Boise ID 83702-6040. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cook, Jennifer Kloss can be contacted via phone (208) 514-2525.Contact Information
Primary practice address
325 W Idaho St
Boise ID 83702-6040
Phone: (208) 514-2525
Fax: (208) 375-2217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M-10406 | Idaho |
Profile Details
| NPI number | 1265680417 |
|---|---|
| LBN Legal business name | Cook, Jennifer Kloss |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2008 |
| Last updated | Dec 15th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265680417 | NPPES |
| Idaho | MEDICAID | 1265680417 |
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