Individual
JESSE ILLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAS1
Contact information
Practice address
240 HIGHWAY 105 EXT STE 100, BOONE, NC 28607-4291
(828) 264-7311
(828) 264-7907
Mailing address
PO BOX 1490, BOONE, NC 28607-1490
(828) 262-3886
(828) 265-4816
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13685
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/15/2022
Last updated
12/14/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us