Dardis, James W

Dardis, James W is an individual health care provider with primary practice located at 211 Forest St. , Mccall ID 83638-1047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dardis, James W can be contacted via phone (208) 634-2225.

Contact Information

Primary practice address
211 Forest St. Mccall ID 83638-1047
Fax: (208) 634-7212
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M5329 Idaho

Profile Details

NPI number 1144301664
LBN Legal business name Dardis, James W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Oct 15th, 2012 - about 12 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 1144301664 NPPES
Idaho Other 000010000625 BS MVMC
Idaho Other 53298 BS MVMC
Idaho Other D7399 BS MVMC
Idaho MEDICAID 003664900 BS MVMC
Idaho Other 080047434 BS MVMC
Idaho Other 000010000624 BS MVMC

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