Newsom, Jackie L
Newsom, Jackie L is an individual health care provider with primary practice located at 353 N 4Th Ave Ste 110, Pocatello ID 83201-6390. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Newsom, Jackie L can be contacted via phone (208) 233-7832.Contact Information
Primary practice address
353 N 4Th Ave Ste 110
Pocatello ID 83201-6390
Phone: (208) 233-7832
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | LSW-32514 | Idaho |
Profile Details
| NPI number | 1124464318 |
|---|---|
| LBN Legal business name | Newsom, Jackie L |
| Credentials | LSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2013 |
| Last updated | May 15th, 2013 - about 11 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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