Dr. Jill C Beck
Pediatric Otolaryngology
100 E Idaho St Ste 200
Boise
, Idaho 83712-6267
Dr. Jill C Beck
Pediatric Otolaryngology
100 E Idaho St Ste 200
Boise
, Idaho 83712-6267
(208) 367-7474
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Dr. Jill C Beck
- 190 E Bannock St
- Boise, ID
- Zip : 83712-6241
- Fax : (208) 367-7474
- Phone : (208) 381-2222
Second Address
- Dr. Jill C Beck
- 100 E Idaho St Ste 200
- Boise, ID
- Zip : 83712-6267
- Phone : (208) 381-9590
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YP0228X | Pediatric Otolaryngology | M7742 | ID |
National Provider Identifier
| NPI | 1265415913 |
|---|---|
| Provider Name | Dr. Jill C Beck |
| First Address | Boise, ID 83712-6241 |
| Second Address | Boise, ID 83712-6267 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/11/2005 |
| Last Update Date | 31/01/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 805412000 | (05) | ID |
| G92520 | (02) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.