Jones, Jeremy L

Jones, Jeremy L is an individual health care provider with primary practice located at 2640 Channing Way , Idaho Falls ID 83404-7517. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Jones, Jeremy L can be contacted via phone (208) 552-2248.

Contact Information

Primary practice address
2640 Channing Way Idaho Falls ID 83404-7517
Phone: (208) 552-2248
Fax: (208) 552-2463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-1732 Idaho

Profile Details

NPI number 1013953462
LBN Legal business name Jones, Jeremy L
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Feb 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013953462 NPPES
Idaho MEDICAID 806626400
Idaho MEDICAID 907630295

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