Gotto, Jennifer G.
Gotto, Jennifer G. is an individual health care provider with primary practice located at 2328 N Towerview Ln , Boise ID 83702-6518. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gotto, Jennifer G. can be contacted via phone (626) 578-4010.Contact Information
Primary practice address
2328 N Towerview Ln
Boise ID 83702-6518
Phone: (626) 578-4010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A73025 | California |
Profile Details
| NPI number | 1518941459 |
|---|---|
| LBN Legal business name | Gotto, Jennifer G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Apr 5th, 2013 - about 12 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 | 1518941459 | NPPES |
| California | Other | A73025 | MED. LICENSE |
| California | Other | D3079847 | MED. LICENSE |
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