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Contact Information

JESSICA CHRISTIAN
110 RATTLESNAKE AVE STE D
MOUNTAIN HOME, ID83647-4220
 Phone: 575-613-0596
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for JESSICA CHRISTIAN · (Female)

NPI Number 1699373001
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2020
Last updated 10/16/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # ACU-369
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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