Search › Idaho › 2255A2300X
Matthew Jaksetic, ATC
NPI 1366776452 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1450 Aviation Dr
201
Hailey, ID 83333 - Phone
- (208) 727-8281
- Fax
- (208) 727-8285
- Clinicians at this address
- 38
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
- Licence states on file
- ID, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-06-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho