Bingham, Joel R
Bingham, Joel R is an individual health care provider with primary practice located at 801 S Rising Sun Dr , Nampa ID 83686-6009. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bingham, Joel R can be contacted via phone (208) 466-6161.Contact Information
Primary practice address
801 S Rising Sun Dr
Nampa ID 83686-6009
Phone: (208) 466-6161
Fax: (208) 298-0633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D3801 | Idaho |
Profile Details
| NPI number | 1114939014 |
|---|---|
| LBN Legal business name | Bingham, Joel R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Aug 7th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114939014 | NPPES |
| Other | 632043 | UNITED CONCORDIA PROVIDER | |
| MEDICAID | 807473900 | UNITED CONCORDIA PROVIDER | |
| Other | 000010012520 | UNITED CONCORDIA PROVIDER | |
| Other | 6K141 | UNITED CONCORDIA PROVIDER |
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