Rozack, Jonathan William

Rozack, Jonathan William is an sole proprietor health care provider with primary practice located at 2775 Channing Way , Idaho Falls ID 83404-7510. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Rozack, Jonathan William can be contacted via phone (208) 524-0133.

Contact Information

Primary practice address
2775 Channing Way Idaho Falls ID 83404-7510
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP525A Idaho

Profile Details

NPI number 1255429288
LBN Legal business name Rozack, Jonathan William
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Jul 8th, 2007 - about 17 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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