Vanwart, Jesse

Vanwart, Jesse is an individual health care provider with primary practice located at 1512 12Th Ave Rd , Nampa ID 83686-6008. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Vanwart, Jesse can be contacted via phone (208) 463-5360.

Contact Information

Primary practice address
1512 12Th Ave Rd Nampa ID 83686-6008
Phone: (208) 463-5360
Fax: (208) 463-5018
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P5930 Idaho

Profile Details

NPI number 1336388974
LBN Legal business name Vanwart, Jesse
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2009
Last updated Feb 4th, 2009 - about 15 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.

Request for update

Popular Providers