Carbone, Jerry Michael
Carbone, Jerry Michael is an individual health care provider with primary practice located at 12249 W Mcmillan Rd , Boise ID 83713-0555. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Carbone, Jerry Michael can be contacted via phone (208) 917-2855.Contact Information
Primary practice address
12249 W Mcmillan Rd
Boise ID 83713-0555
Phone: (208) 917-2855
Fax: (208) 258-7553
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Endodontics | 1223E0200X | D-3642EN | Idaho |
Profile Details
NPI number | 1316050628 |
---|---|
LBN Legal business name | Carbone, Jerry Michael |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 17th, 2006 |
Last updated | Oct 1st, 2014 - about 10 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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