Jain, Jeannette E

Jain, Jeannette E is an individual health care provider with primary practice located at 215 E Hawaii Ave , Nampa ID 83686-6011. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jain, Jeannette E can be contacted via phone (208) 468-5930.

Contact Information

Primary practice address
215 E Hawaii Ave Nampa ID 83686-6011
Phone: (208) 468-5930
Fax: (208) 463-3044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M8205 Idaho

Profile Details

NPI number 1154311199
LBN Legal business name Jain, Jeannette E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Apr 4th, 2017 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154311199 NPPES
Idaho MEDICAID 806061800
Idaho Other 000010032978
Idaho Other 42507
Idaho Other 080036991
Idaho Other 806353400

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