Koopman, Jesse
Koopman, Jesse is an sole proprietor health care provider with primary practice located at 4324 S Falconrest Way , Boise ID 83716-6673. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Koopman, Jesse can be contacted via phone (208) 539-7778.Contact Information
Primary practice address
4324 S Falconrest Way
Boise ID 83716-6673
Phone: (208) 539-7778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1023692738 |
|---|---|
| LBN Legal business name | Koopman, Jesse |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2021 |
| Last updated | May 9th, 2021 - about 4 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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