Pope, Jason Kendall
Pope, Jason Kendall is an sole proprietor health care provider with primary practice located at 4825 Alder Creek Rd , Saint Maries ID 83861-9765. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Pope, Jason Kendall can be contacted via phone (208) 568-0826.Contact Information
Primary practice address
4825 Alder Creek Rd
Saint Maries ID 83861-9765
Phone: (208) 568-0826
Fax: (208) 665-5795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | LMSW-37223 | Idaho |
Profile Details
| NPI number | 1558869909 |
|---|---|
| LBN Legal business name | Pope, Jason Kendall |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2018 |
| Last updated | Jan 30th, 2018 - about 6 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 | 1558869909 | NPPES |
| Idaho | MEDICAID | 1366794224 |
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