Elliott, Jason T

Elliott, Jason T is an sole proprietor health care provider with primary practice located at 190 E Bannock St , Boise ID 83712-6241. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Elliott, Jason T can be contacted via phone (208) 381-1615.

Contact Information

Primary practice address
190 E Bannock St Boise ID 83712-6241
Phone: (208) 381-1615
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 61213 Idaho

Profile Details

NPI number 1275199663
LBN Legal business name Elliott, Jason T
Credentials AGACNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2019
Last updated May 9th, 2022 - 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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