Mayberry, Jeffrie Neil
Mayberry, Jeffrie Neil is an individual health care provider with primary practice located at 90 Hope Dr Bldg 6000 , Mountain Home A F B ID 83648-1062. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Mayberry, Jeffrie Neil can be contacted via phone (208) 828-7100.Contact Information
Primary practice address
90 Hope Dr Bldg 6000
Mountain Home A F B ID 83648-1062
Phone: (208) 828-7100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Medical Technicians | 1710I1003X |
Profile Details
| NPI number | 1407086473 |
|---|---|
| LBN Legal business name | Mayberry, Jeffrie Neil |
| Credentials | IDMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2009 |
| Last updated | Jul 23rd, 2009 - about 15 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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