Adams, David D.

Adams, David D. is an sole proprietor health care provider with primary practice located at 2001 S Woodruff Ave Ste 5, Idaho Falls ID 83404-6374. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Adams, David D. can be contacted via phone (208) 528-8777.

Contact Information

Primary practice address
2001 S Woodruff Ave Ste 5 Idaho Falls ID 83404-6374
Phone: (208) 528-8777
Fax: (208) 528-9777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-08 Idaho

Profile Details

NPI number 1871544825
LBN Legal business name Adams, David D.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2006
Last updated Jan 20th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871544825 NPPES
Idaho MEDICAID 806420200

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