JONAS DETHMAN
NPI 1063184554
Home Health Aide in Eagle, ID
About Jonas Dethman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONAS DETHMAN (NPI 1063184554) is an individual home health aide in Eagle, Idaho and active in the NPI registry since October 2021.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jonas Dethman's NPI number?
The NPI number for Jonas Dethman is 1063184554. It was assigned to this individual provider in the NPPES registry on October 2, 2021.
Where is Jonas Dethman located?
Jonas Dethman practices at 239 Winged Foot Pl, Eagle, ID 83616. The listed phone number is (208) 473-0493.
What is Jonas Dethman's specialty?
The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.
When was this NPI record last updated?
The NPPES record for Jonas Dethman was last updated on October 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jonas Dethman · NPI 1063184554
Home Health Aide provider in Eagle, Idaho. Individual provider, active in the CMS NPPES registry since October 2, 2021.
## Identity
- **NPI:** 1063184554 (Entity type: Individual)
- **Enumerated:** October 2, 2021
- **Primary specialty:** Home Health Aide · taxonomy 374U00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 239 WINGED FOOT PL, Eagle, ID 83616-5265
- **Phone:** (208) 473-0493
## Record status
- **NPPES last updated:** October 2, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1063184554) · Data from the CMS NPPES public registry.