Jennifer E Holst (NPI# 1487689683, PAC ID# 8325057664) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED AUDIOLOGIST.
| Nation Provider ID (NPI) | 1487689683 |
| PAC ID by PECOS | 8325057664 |
| Professional Enrollment ID | I20060413000319 |
| Full Name | Jennifer E Holst |
| Organization Legal Name | IDAHO STATE UNIVERSITY |
| Address |
650 Memorial Dr Bldg 68 Isu Speech and Hearing Clinic Pocatello ID 83209-8116 |
| Phone Number | 2082823495 |
| Gender | F |
| Credential | AU |
| Graduation Year | 2004 |
| Primary Specialty | QUALIFIED AUDIOLOGIST |
| Group Practice PAC ID | 4688683030 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 650 Memorial Dr Bldg, 68 Isu Speech and Hearing Clinic, Pocatello, ID 83209-8116 | 2082823495 | IDAHO STATE UNIVERSITY |
| Organization Legal Name | IDAHO STATE UNIVERSITY |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Max L Esposito | Physical Therapy | Idaho State University | 650 Memorial Dr, Pocatello, ID 83209-8116 |
| Deanna C Dye | Physical Therapy | Idaho State University | 1400 E Terry Garrison Building, Pocatello, ID 83209-0001 |
| Jeff E Brockett | Qualified Audiologist | Idaho State University | 650 Memorial Dr Bldg, 68 Isu Speech and Hearing Clinic, Pocatello, ID 83209-8116 |
| Sharon D Sampson | Physical Therapy | Idaho State University | 1400 E Terry Dr Bldg, Suite 63, Pocatello, ID 83209-9984 |
| Lance Derek Gerber | Physical Therapy | Idaho State University | 650 Memorial Dr Bldg, 68 Isu Speech and Hearing Clinic, Pocatello, ID 83209-8116 |
| James E Ralphs | Physical Therapy | Idaho State University | 650 Memorial Dr Bldg, 68 Isu Speech and Hearing Clinic, Pocatello, ID 83209-8116 |
| Deborah M Vieira | Qualified Audiologist | Idaho State University | 650 Memorial Dr Bldg, 68 Isu Speech and Hearing Clinic, Pocatello, ID 83209-8116 |
| Mary M Whitaker | Qualified Audiologist | Idaho State University | 805 Main St, Salmon, ID 83467-4316 |
| Corrie E Holmes | Qualified Audiologist | Idaho State University | 650 Memorial Dr Bldg, 68 Isu Speech and Hearing Clinic, Pocatello, ID 83209-8116 |
| Nancy C Cheadle | Qualified Audiologist | Idaho State University | 650 Memorial Dr Bldg, 68 Isu Speech and Hearing Clinic, Pocatello, ID 83209-8116 |
| Street Address |
650 MEMORIAL DR BLDG 68 ISU SPEECH AND HEARING CLINIC |
| City | POCATELLO |
| State | ID |
| Zip | 83209-8116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeff E Brockett | Qualified Audiologist | Idaho State University | 650 Memorial Dr Bldg, 68 Isu Speech and Hearing Clinic, Pocatello, ID 83209-8116 |
| Lance Derek Gerber | Physical Therapy | Idaho State University | 650 Memorial Dr Bldg, 68 Isu Speech and Hearing Clinic, Pocatello, ID 83209-8116 |
| James E Ralphs | Physical Therapy | Idaho State University | 650 Memorial Dr Bldg, 68 Isu Speech and Hearing Clinic, Pocatello, ID 83209-8116 |
| Deborah M Vieira | Qualified Audiologist | Idaho State University | 650 Memorial Dr Bldg, 68 Isu Speech and Hearing Clinic, Pocatello, ID 83209-8116 |
| Corrie E Holmes | Qualified Audiologist | Idaho State University | 650 Memorial Dr Bldg, 68 Isu Speech and Hearing Clinic, Pocatello, ID 83209-8116 |
| Nancy C Cheadle | Qualified Audiologist | Idaho State University | 650 Memorial Dr Bldg, 68 Isu Speech and Hearing Clinic, Pocatello, ID 83209-8116 |
| Lindsay A Tucker | Audiologist | Idaho State University | 650 Memorial Dr Bldg, 68 Isu Speech and Hearing Clinic, Pocatello, ID 83209-8116 |
| Alexander G Urfer | Physical Therapy | Idaho State University | 650 Memorial Dr Bldg, 68 Isu Speech and Hearing Clinic, Pocatello, ID 83209-8116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deanna C Dye | Physical Therapy | Idaho State University | 1400 E Terry Garrison Building, Pocatello, ID 83209-0001 |
| James E Creelman Iii | Physical Therapy | Idaho State University | 1400 E Terry Garrison Building, Pocatello, ID 83209-0001 |
| Kathleen M Alexander | Physical Therapy | Idaho State University | 1400 E Terry Garrison Building, Pocatello, ID 83209-0001 |
| Max L Esposito | Physical Therapy | Idaho State University | 650 Memorial Dr, Pocatello, ID 83209-8116 |
| Sharon D Sampson | Physical Therapy | Idaho State University | 1400 E Terry Dr Bldg, Suite 63, Pocatello, ID 83209-9984 |
| City | POCATELLO |
| Zip Code | 83209 |
| Specialty | QUALIFIED AUDIOLOGIST |
| City + Specialty | POCATELLO + QUALIFIED AUDIOLOGIST |
Please comment or provide details below to improve the information on Jennifer E Holst.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.