Stevenson, Jayne
Stevenson, Jayne is an sole proprietor health care provider with primary practice located at 802 W Bannock St Suite 405, Boise ID 83702-5837. She recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as her primary health care specialty. Stevenson, Jayne can be contacted via phone (208) 336-7341.Contact Information
Primary practice address
802 W Bannock St Suite 405
Boise ID 83702-5837
Phone: (208) 336-7341
Fax: (208) 336-7342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | M8899 | Idaho |
Profile Details
| NPI number | 1285779496 |
|---|---|
| LBN Legal business name | Stevenson, Jayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1285779496 | NPPES |
| Idaho | Other | 000010147087 | REGENCE BLUE SHIELD |
| Idaho | Other | 75739 | REGENCE BLUE SHIELD |
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