Deleon, Robin Jackson

Deleon, Robin Jackson is an individual health care provider with primary practice located at 500 W Fort St Pm&R, Boise Va Medical Center, Boise ID 83702-4501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Deleon, Robin Jackson can be contacted via phone (208) 422-1368.

Contact Information

Primary practice address
500 W Fort St Pm&R, Boise Va Medical Center Boise ID 83702-4501
Phone: (208) 422-1368
Fax: (208) 422-1188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X M-9583 Idaho

Profile Details

NPI number 1992807085
LBN Legal business name Deleon, Robin Jackson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992807085 NPPES
Idaho Other M-9583 MEDICAL LICENCE

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