Daines, Joseph Gordon
Daines, Joseph Gordon is an sole proprietor health care provider with primary practice located at 766 W Colchester Dr , Eagle ID 83616-5888. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Daines, Joseph Gordon can be contacted via phone (208) 401-4790.Contact Information
Primary practice address
766 W Colchester Dr
Eagle ID 83616-5888
Phone: (208) 401-4790
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | M3286 | Idaho |
Profile Details
| NPI number | 1558310318 |
|---|---|
| LBN Legal business name | Daines, Joseph Gordon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2006 |
| Last updated | Oct 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558310318 | NPPES |
| Idaho | MEDICAID | 003653900 | |
| Idaho | Other | P00185340 | |
| Idaho | Other | 000010003325 | |
| Idaho | Other | 32862 |
Popular Providers
-
Nelson, Leonard D
3001 Edwards Mill Rd , Raleigh NC 27612-5243 -
Lombardi, John A
100 Spalding Dr Ste 300 , Naperville IL 60540-6553 -
Jordan, Steve E
1040 Gulf Breeze Pkwy Suite 200, Gulf Breeze FL 32561-7809 -
Isbell, William M
3001 Edwards Mill Rd Suite 200, Raleigh NC 27612-5243 -
Humphrey, Carl Scott
3381 W Bavaria Street , Eagle ID 83616-5341 -
Park, Thomas M
3334 Capital Medical Blvd Ste. 400, Tallahassee FL 32308-8405 -
Scott, Wendell O
1907 Park Ave Suite 102, South Plainfield NJ 07080-5530 -
Kelly, Joseph P
3381 W Bavaria St , Eagle ID 83616-5341