Dalling, Jason

Dalling, Jason is an individual health care provider with primary practice located at 3300 Washington Pkwy , Idaho Falls ID 83404-7592. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Dalling, Jason can be contacted via phone (208) 522-6662.

Contact Information

Primary practice address
3300 Washington Pkwy Idaho Falls ID 83404-7592
Phone: (208) 522-6662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X M11813 Idaho
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X M11813 Idaho

Profile Details

NPI number 1689896433
LBN Legal business name Dalling, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated May 7th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689896433 NPPES
Idaho MEDICAID 1356785018

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