Jones, Jeralyn
Jones, Jeralyn is an sole proprietor health care provider with primary practice located at 703 S Americana Blvd Ste 150 , Boise ID 83702-4976. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Jones, Jeralyn can be contacted via phone (208) 706-6375.Contact Information
Primary practice address
703 S Americana Blvd Ste 150
Boise ID 83702-4976
Phone: (208) 706-6375
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | M6048 | Idaho |
Profile Details
| NPI number | 1891731451 |
|---|---|
| LBN Legal business name | Jones, Jeralyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jun 20th, 2023 - about last year |
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 | 1891731451 | NPPES |
| Idaho | MEDICAID | 000416300 |
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