Hessing, Jeffrey Glenn

Hessing, Jeffrey Glenn is an individual health care provider with primary practice located at 8854 W Emerald St Suite 140, Boise ID 83704-4844. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Hessing, Jeffrey Glenn can be contacted via phone (208) 327-4790.

Contact Information

Primary practice address
8854 W Emerald St Suite 140 Boise ID 83704-4844
Fax: (208) 367-4888
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M4907 Idaho

Profile Details

NPI number 1023068194
LBN Legal business name Hessing, Jeffrey Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Oct 18th, 2018 - about 6 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 1023068194 NPPES
Idaho Other 000010005805 REGENCE BLUE SHIELD
Idaho Other P00297173 REGENCE BLUE SHIELD
Idaho MEDICAID 003748000 REGENCE BLUE SHIELD
Idaho Other 49072 REGENCE BLUE SHIELD

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