Shilt, Jeffrey S

Shilt, Jeffrey S is an individual health care provider with primary practice located at 703 S Americana Blvd Ste 120, Boise ID 83702-5099. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is his primary health care specialty. Shilt, Jeffrey S can be contacted via phone (208) 323-2600.

Contact Information

Primary practice address
703 S Americana Blvd Ste 120 Boise ID 83702-5099
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 9901473 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X M10261 Idaho

Profile Details

NPI number 1730165366
LBN Legal business name Shilt, Jeffrey S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Feb 18th, 2014 - about 10 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 1730165366 NPPES
Other 200043936 RR MEDICARE

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