Pool, Justin C
Pool, Justin C is an individual health care provider with primary practice located at 2240 E Center St , Pocatello ID 83201-2600. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Pool, Justin C can be contacted via phone (208) 233-2100.Contact Information
Primary practice address
2240 E Center St
Pocatello ID 83201-2600
Phone: (208) 233-2100
Fax: (208) 233-3146
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5124950-1206 | Utah |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA1007 | Idaho |
Profile Details
NPI number | 1952402257 |
---|---|
LBN Legal business name | Pool, Justin C |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2006 |
Last updated | Feb 27th, 2018 - about 7 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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