Neibling, Jeremiah W

Neibling, Jeremiah W is an individual health care provider with primary practice located at 228 Shoup Ave W , Twin Falls ID 83301-5022. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Neibling, Jeremiah W can be contacted via phone (208) 814-9100.

Contact Information

Primary practice address
228 Shoup Ave W Twin Falls ID 83301-5022
Phone: (208) 814-9100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP-1504A Idaho

Profile Details

NPI number 1154723120
LBN Legal business name Neibling, Jeremiah W
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2014
Last updated Jan 9th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154723120 NPPES
Idaho MEDICAID 1154723120

Popular Providers