Isom, Jessica Ashley

Isom, Jessica Ashley is an sole proprietor health care provider with primary practice located at 230 W 15Th St , Idaho Falls ID 83402-4238. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Isom, Jessica Ashley can be contacted via phone (208) 351-0486.

Contact Information

Primary practice address
230 W 15Th St Idaho Falls ID 83402-4238
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X XA174526J Idaho

Profile Details

NPI number 1154060390
LBN Legal business name Isom, Jessica Ashley
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2022
Last updated Jun 3rd, 2022 - about 3 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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