Individual
JADE FORBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDMS
Contact information
Practice address
1334 N MAIN ST, POCATELLO, ID 83204-2610
(208) 539-7399
(208) 417-0882
Mailing address
3515 SOMERSET DR, POCATELLO, ID 83201-2776
(208) 539-7399
(208) 417-0882
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
194823
ID
2471S1302X
Sonography Radiologic Technologist
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—
Other
Enumeration date
07/24/2023
Last updated
02/11/2025
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