Jump Start Pediatrics
Jump Start Pediatrics is a Supports Brokerage Agency in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2015.
- Licensed in
- ID
- In the registry since
- 2015
Practice location Address checks out
411 W Haycraft Ave Ste D4Coeur D Alene, ID 83815-8104
Phone: (206) 664-2468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Supports Brokerage Agency (primary) | Taxonomy 251X00000X · Licence OT-1455 (ID) |
|---|
Record details
| NPI number | 1881072817 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Becca Fahey — Office Manager · (208) 664-2468 |
| NPI enumerated | May 11, 2015 |
| Last updated in NPPES | May 11, 2015 |
| Mailing address | 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815-8104 |