Quinn, Jason M

Quinn, Jason M is an individual health care provider with primary practice located at 1055 N Curtis Road South Tower, Boise ID 83706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Quinn, Jason M can be contacted via phone (208) 302-0800.

Contact Information

Primary practice address
1055 N Curtis Road South Tower Boise ID 83706
Phone: (208) 302-0800
Fax: (208) 302-0855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A81055 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M-9717 Idaho

Profile Details

NPI number 1710978036
LBN Legal business name Quinn, Jason M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jul 21st, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710978036 NPPES
Idaho MEDICAID 807581200

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