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
Phone: (208) 351-0486
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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