Korasick, Jocelyn J

Korasick, Jocelyn J is an individual health care provider with primary practice located at 740 Mckinley Ave , Kellogg ID 83837-2693. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Korasick, Jocelyn J can be contacted via phone (208) 783-1267.

Contact Information

Primary practice address
740 Mckinley Ave Kellogg ID 83837-2693
Phone: (208) 783-1267
Fax: (844) 807-3782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 52099-20 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60470272 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M-15413 Idaho

Profile Details

NPI number 1457346603
LBN Legal business name Korasick, Jocelyn J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Apr 4th, 2023 - about 2 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 1457346603 NPPES
Idaho MEDICAID 1457346603
Idaho MEDICAID 35370500

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