Jelinek, John Adam
Jelinek, John Adam is an individual health care provider with primary practice located at 320 Warner Dr , Lewiston ID 83501-4441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Jelinek, John Adam can be contacted via phone (208) 743-3523.Contact Information
Primary practice address
320 Warner Dr
Lewiston ID 83501-4441
Phone: (208) 743-3523
Fax: (208) 746-8741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | M-10275 | Idaho |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | MD 60001068 | Washington |
Profile Details
| NPI number | 1568410025 |
|---|---|
| LBN Legal business name | Jelinek, John Adam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Jun 24th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568410025 | NPPES |
| Washington | Other | 238312 | WA DEPT OF LABOR & INDUSTRIES |
| Washington | Other | 77378 | WA DEPT OF LABOR & INDUSTRIES |
| Washington | MEDICAID | 808097200 | WA DEPT OF LABOR & INDUSTRIES |
| Washington | MEDICAID | 8517518 | WA DEPT OF LABOR & INDUSTRIES |
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