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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154723120 | NPPES |
| Idaho | MEDICAID | 1154723120 |
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