Jarstad, Katie Dawn

Jarstad, Katie Dawn is an individual health care provider with primary practice located at 315 W Dalton Ave Ste B , Coeur D Alene ID 83815-8600. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Jarstad, Katie Dawn can be contacted via phone (208) 209-2066.

Contact Information

Primary practice address
315 W Dalton Ave Ste B Coeur D Alene ID 83815-8600
Phone: (208) 209-2066
Fax: (208) 209-2076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-580 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-580 Idaho

Profile Details

NPI number 1326099672
LBN Legal business name Jarstad, Katie Dawn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Aug 11th, 2022 - about 2 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 1326099672 NPPES
Idaho MEDICAID 1326099672

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