Holst, Jennifer

Holst, Jennifer is an individual health care provider with primary practice located at Idaho State University 921 S. 8Th Stop 8116, Pocatello ID 83209-0001. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Holst, Jennifer can be contacted via phone (208) 282-3747.

Contact Information

Primary practice address
Idaho State University 921 S. 8Th Stop 8116 Pocatello ID 83209-0001
Phone: (208) 282-3747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD-1322 Idaho

Profile Details

NPI number 1487689683
LBN Legal business name Holst, Jennifer
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated May 24th, 2012 - about 13 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 1487689683 NPPES
Idaho MEDICAID 002818800

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