Ezer, Joseph

Ezer, Joseph is an sole proprietor health care provider with primary practice located at 775 Pole Line Rd W Ste 315 , Twin Falls ID 83301-5823. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Ezer, Joseph can be contacted via phone (208) 814-8750.

Contact Information

Primary practice address
775 Pole Line Rd W Ste 315 Twin Falls ID 83301-5823
Phone: (208) 814-8750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X M-16855 Idaho
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X G34899 California

Profile Details

NPI number 1083637300
LBN Legal business name Ezer, Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Oct 12th, 2022 - about 3 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 1083637300 NPPES
California MEDICAID 00G348990

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