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Contact Information

JASON NEALY, DO
4305 N EAGLE RD
BOISE, ID83713-4722
 Phone: 208-939-3110
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JASON NEALY · (Male)

NPI # 1245645589
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/25/2014
Last updated 10/15/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 60961766
Hospital affiliation(s) Not Available
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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