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Contact Information

JARED G OCONNOR, PA-C
12273 W MCMILLAN ROAD
BOISE, ID83713
 Phone: 208-367-6330
 Fax: 208-367-4765
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JARED G OCONNOR · (Male)

NPI Number 1225412943
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/13/2015
Last updated 12/08/2015 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # PA-1323
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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