Jenkins, Billy Gerald
Jenkins, Billy Gerald is an individual health care provider with primary practice located at 2102 Nez Perce Dr , Lewiston ID 83501-4116. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Jenkins, Billy Gerald can be contacted via phone (208) 743-4434.Contact Information
Primary practice address
2102 Nez Perce Dr
Lewiston ID 83501-4116
Phone: (208) 743-4434
Fax: (208) 743-9422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacy Technician | 183700000X | 1225043342 | Idaho |
Profile Details
| NPI number | 1053894428 |
|---|---|
| LBN Legal business name | Jenkins, Billy Gerald |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2018 |
| Last updated | Sep 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053894428 | NPPES |
| Idaho | MEDICAID | 1538562137 |
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