Health Optimization Pllc | |
1100 N Cole Rd Boise ID 83704-8644 | |
(208) 375-3500 | |
Not Available |
Full Name | Health Optimization Pllc |
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Speciality | Family Medicine |
Location | 1100 N Cole Rd, Boise, Idaho |
Authorized Official Name and Position | Jordyn Oliver (OWNER) |
Authorized Official Contact | 8018211219 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Health Optimization Pllc 1100 N Cole Rd Boise ID 83704-8644 Ph: (208) 375-3500 | Health Optimization Pllc 1100 N Cole Rd Boise ID 83704-8644 Ph: (208) 375-3500 |
NPI Number | 1790357929 |
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Provider Enumeration Date | 07/16/2021 |
Last Update Date | 07/16/2021 |
Medicare PECOS PAC ID | 3173928272 |
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Medicare Enrollment ID | O20210827002466 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790357929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jordyn Ashlie Oliver |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962000653 PECOS PAC ID: 7214347111 Enrollment ID: I20201104001532 |
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