Wagnild, Jon Parker
Wagnild, Jon Parker is an individual health care provider with primary practice located at 5610 Gage St Suite A, Boise ID 83706-1349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Wagnild, Jon Parker can be contacted via phone (208) 367-3370.Contact Information
Primary practice address
5610 Gage St Suite A
Boise ID 83706-1349
Phone: (208) 367-3370
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | M4213 | Idaho |
Profile Details
| NPI number | 1164459541 |
|---|---|
| LBN Legal business name | Wagnild, Jon Parker |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 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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