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Contact Information

JEFFREY H LIN, MD
190 E. BANNOCK ST.
JEFFERY LIN MD
BOISE, ID83712
 Phone: 208-381-2222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JEFFREY H LIN · (Male)

NPI # 1891704169
Status Active
Credentials MD
Entity Individual
Enumeration date 08/05/2006
Last updated 04/30/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-13383
  • ID License # M-8865
  • WA License # MD00044230
  • WA License # MD0044230
  • ID Medicaid 807724500
  • CA Other A103302 MEDICAL BOARD OF CALIFORNIA
  • ID Other M-8865 MD STATE LICENSE
  • WA Other MD00044230 MD STATE LICENSE
Hospital affiliation(s)
  • ST LUKES REGIONAL MEDICAL CENTER - (Acute Care)
    190 EAST BANNOCK STREET
    BOISE, ID 83712
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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