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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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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