Jaeger, Mary Alice Elizabeth

Jaeger, Mary Alice Elizabeth is an sole proprietor health care provider with primary practice located at 1717 Lincoln Way Ste 203 , Coeur D Alene ID 83814. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as her primary health care specialty. Jaeger, Mary Alice Elizabeth can be contacted via phone (208) 667-3341.

Contact Information

Primary practice address
1717 Lincoln Way Ste 203 Coeur D Alene ID 83814
Fax: (208) 664-8973
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X 34507 Oklahoma
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X M6380 Idaho
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X 60104935 Washington

Profile Details

NPI number 1477596534
LBN Legal business name Jaeger, Mary Alice Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Jan 26th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477596534 NPPES
Idaho MEDICAID 002728300

Popular Providers