Mcmanus, Jolene Marie
Mcmanus, Jolene Marie is an sole proprietor health care provider with primary practice located at 180 Michigan Ave. , Orofino ID 83544. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mcmanus, Jolene Marie can be contacted via phone (208) 476-3921.Contact Information
Primary practice address
180 Michigan Ave.
Orofino ID 83544
Phone: (208) 476-3921
Fax: (208) 476-3921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | HA-1604 | Idaho |
Profile Details
| NPI number | 1265769509 |
|---|---|
| LBN Legal business name | Mcmanus, Jolene Marie |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2009 |
| Last updated | Nov 6th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265769509 | NPPES |
| Idaho | MEDICAID | 808223600 |
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