Halford, Jean R

Halford, Jean R is an individual health care provider with primary practice located at 2220 E 25Th St , Idaho Falls ID 83404-7542. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Halford, Jean R can be contacted via phone (208) 523-1122.

Contact Information

Primary practice address
2220 E 25Th St Idaho Falls ID 83404-7542
Phone: (208) 523-1122
Fax: (208) 523-2582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 369684 Illinois

Profile Details

NPI number 1669405932
LBN Legal business name Halford, Jean R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jul 8th, 2007 - about 17 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 1669405932 NPPES
Idaho Other P00103300 RAILROAD ME

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