Wilson, Jared Kent
Wilson, Jared Kent is an individual health care provider with primary practice located at 777 Hospital Way Building A, Suite 201, Pocatello ID 83201-5175. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Wilson, Jared Kent can be contacted via phone (208) 239-2714.Contact Information
Primary practice address
777 Hospital Way Building A, Suite 201
Pocatello ID 83201-5175
Phone: (208) 239-2714
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 0126001086 | Virginia |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
NPI number | 1275748089 |
---|---|
LBN Legal business name | Wilson, Jared Kent |
Credentials | PA-C, MPAS, MED, ATC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 14th, 2007 |
Last updated | Dec 30th, 2011 - about 14 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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