Jacobs, Shallece

Jacobs, Shallece is an individual health care provider with primary practice located at 419 N 11Th St , Boise ID 83702-5332. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Jacobs, Shallece can be contacted via phone (208) 344-5502.

Contact Information

Primary practice address
419 N 11Th St Boise ID 83702-5332
Fax: (888) 965-4924
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1104328897
LBN Legal business name Jacobs, Shallece
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2018
Last updated Mar 8th, 2018 - about 7 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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