Gage, Jason Donald

Gage, Jason Donald is an individual health care provider with primary practice located at 311 Allumbaugh St , Boise ID 83704-9208. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gage, Jason Donald can be contacted via phone (208) 375-6402.

Contact Information

Primary practice address
311 Allumbaugh St Boise ID 83704-9208
Phone: (208) 375-6402
Fax: (208) 323-1850
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY202-302 Idaho

Profile Details

NPI number 1548250699
LBN Legal business name Gage, Jason Donald
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jan 31st, 2008 - about 17 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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