Blaser, Herbert Ray
Blaser, Herbert Ray is an sole proprietor health care provider with primary practice located at 2104 N. Cole Rd. , Boise ID 83704. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Blaser, Herbert Ray can be contacted via phone (208) 376-9280.Contact Information
Primary practice address
2104 N. Cole Rd.
Boise ID 83704
Phone: (208) 376-9280
Fax: (208) 376-9280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | D1481EN | Idaho |
Profile Details
| NPI number | 1437455961 |
|---|---|
| LBN Legal business name | Blaser, Herbert Ray |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2011 |
| Last updated | Feb 1st, 2011 - about 13 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 | 1437455961 | NPPES |
| Idaho | MEDICAID | 002433400 |
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