Fu, Jessica Elaine
Fu, Jessica Elaine is an sole proprietor health care provider with primary practice located at 315 Elm Street Ste 310, Caldwell ID 83605. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Fu, Jessica Elaine can be contacted via phone (208) 454-2035.Contact Information
Primary practice address
315 Elm Street Ste 310
Caldwell ID 83605
Phone: (208) 454-2035
Fax: (208) 454-1065
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | M-11303 | Idaho |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | LL1756 | Nevada |
Profile Details
NPI number | 1710185111 |
---|---|
LBN Legal business name | Fu, Jessica Elaine |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 6th, 2007 |
Last updated | Aug 7th, 2014 - about 11 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 | 1710185111 | NPPES |
Nevada | Other | LL1756 | NV MEDICAL LIC |
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