Search › Idaho › 106S00000X
Jim Smidt
NPI 1720620750 · on the registry since 2019 · sole proprietor
Practice
- Address
- 820 N William St
Post Falls, ID 83854 - Phone
- (208) 755-0660
- Fax
- (208) 777-7691
- Organisation at this address
- Blue Bird Day Pnw Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 261QM0855X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-22
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