Repulski, Jana Nicole

Repulski, Jana Nicole is an individual health care provider with primary practice located at 533 S Rivershore Ln Suite 120, Eagle ID 83616-4979. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Repulski, Jana Nicole can be contacted via phone (208) 938-8020.

Contact Information

Primary practice address
533 S Rivershore Ln Suite 120 Eagle ID 83616-4979
Phone: (208) 938-8020
Fax: (208) 938-8016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT1158 Idaho

Profile Details

NPI number 1801846498
LBN Legal business name Repulski, Jana Nicole
Credentials PT, OCS
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Feb 8th, 2011 - about 13 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 1801846498 NPPES
Idaho MEDICAID 807415500

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