Bingham, Jacob

Bingham, Jacob is an sole proprietor health care provider with primary practice located at 1501 Hiland Ave Ste C , Burley ID 83318-2682. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Bingham, Jacob can be contacted via phone (208) 677-6080.

Contact Information

Primary practice address
1501 Hiland Ave Ste C Burley ID 83318-2682
Phone: (208) 677-6080
Fax: (208) 677-6090
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X A168110 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MT208785 Pennsylvania
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M15808 Idaho

Profile Details

NPI number 1144609314
LBN Legal business name Bingham, Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2015
Last updated Mar 7th, 2022 - about 2 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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