Jaquez, Henry Gerard

Jaquez, Henry Gerard is an individual health care provider with primary practice located at 614 Burrell Dr , Lewiston ID 83501-5120. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Jaquez, Henry Gerard can be contacted via phone (208) 792-1808.

Contact Information

Primary practice address
614 Burrell Dr Lewiston ID 83501-5120
Phone: (208) 792-1808
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X Idaho

Profile Details

NPI number 1871063909
LBN Legal business name Jaquez, Henry Gerard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2018
Last updated Dec 2nd, 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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