Haskell, Jeffrey C

Haskell, Jeffrey C is an individual health care provider with primary practice located at 313 E Era Ave , Arco ID 83213-8802. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Medical Genetics, Ph.D. Medical Genetics, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Haskell, Jeffrey C can be contacted via phone (208) 569-4008.

Contact Information

Primary practice address
313 E Era Ave Arco ID 83213-8802
Phone: (208) 569-4008
Fax: (208) 527-8265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Medical Genetics, Ph.D. Medical Genetics 170100000X M6181 Idaho
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X M6181 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M6181 Idaho

Profile Details

NPI number 1073535506
LBN Legal business name Haskell, Jeffrey C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Feb 5th, 2024 - about 7 months 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 1073535506 NPPES
Idaho MEDICAID 003739200

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