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Contact Information

JASON T MCNEALY, CSA, CST
190 E BANNOCK ST
BOISE, ID83712-6241
 Phone: 208-381-2222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
Indicates primary specialty

NPI Profile & details for JASON T MCNEALY · (Male)

NPI Number 1669191045
Status Active
Credentials CSA, CST
Entity Individual
Enumeration date 08/26/2022
Last updated 09/22/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • ID License # 212937
  • ID License # 5344
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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