Modlin, Jessie

Modlin, Jessie is an individual health care provider with primary practice located at 100 E Idaho St , Boise ID 83712-6267. She recently has only one registered license in Pharmacy Service Providers / Oncology, which is considered as her primary health care specialty. Modlin, Jessie can be contacted via phone (208) 381-4586.

Contact Information

Primary practice address
100 E Idaho St Boise ID 83712-6267
Phone: (208) 381-4586
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Oncology 1835X0200X P5933 Idaho

Profile Details

NPI number 1386282788
LBN Legal business name Modlin, Jessie
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2019
Last updated Dec 16th, 2019 - about 5 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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