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Contact Information

JAYNE STEVENSON, MD
802 W BANNOCK ST
SUITE 405
BOISE, ID83702-5837
 Phone: 208-336-7341
 Fax: 208-336-7342
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for JAYNE STEVENSON · (Female)

NPI Number 1285779496
Status Active
Credentials MD
Entity Individual
Enumeration date 02/21/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # M8899
  • ID Other 75739 BLUE CROSS OF IDAHO
  • ID Other 000010147087 REGENCE BLUE SHIELD
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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