DR. Jon-eric Baillie, M.D. is an addiction medicine family medicine in Boise, ID. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. Jon-eric Baillie, M.D. NPI is 1134139991. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8100 W EMERALD ST STE 180
BOISE, ID
ZIP 83704
Phone: (208) 377-3299
Fax: (208) 460-5227
The NPI 1134139991 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 13D2052252 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/8/2006 and was last updated on 5/22/2018.