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:
Health care specialties
Specialty | Code | License # | 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 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 | 1457346603 | NPPES |
Idaho | MEDICAID | 1457346603 | |
Idaho | MEDICAID | 35370500 |
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