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Contact Information

JENNIFER WARE, PA-S
98 POPLAR ST
BLACKFOOT, ID83221-1799
 Phone: 208-785-4100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Pharmacy Technician

183700000X
Indicates primary specialty

NPI Profile & details for JENNIFER WARE · (Female)

NPI Number 1548045172
Status Active
Credentials PA-S
Entity Individual
Enumeration date 08/30/2023
Last updated 08/28/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • ID License # CT70385
  • UT License # 10848229-1717
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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