Whitesell, Jackie J
Whitesell, Jackie J is an individual health care provider with primary practice located at 1072 N Liberty St Suite 303, Boise ID 83704-2800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Whitesell, Jackie J can be contacted via phone (208) 367-2800.Contact Information
Primary practice address
1072 N Liberty St Suite 303
Boise ID 83704-2800
Phone: (208) 367-2800
Fax: (208) 367-7111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | M-11022 | Idaho |
Profile Details
| NPI number | 1346367984 |
|---|---|
| LBN Legal business name | Whitesell, Jackie J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Apr 23rd, 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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