Hadlock, David Reed

Hadlock, David Reed is an sole proprietor health care provider with primary practice located at 496 C Shoup Ave W , Twin Falls ID 83301-4563. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Reproductive Endocrinology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Hadlock, David Reed can be contacted via phone (208) 735-0000.

Contact Information

Primary practice address
496 C Shoup Ave W Twin Falls ID 83301-4563
Phone: (208) 735-0000
Fax: (208) 734-1717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X O-163 Idaho
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X O-163 Idaho
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0-163 Idaho

Profile Details

NPI number 1629101928
LBN Legal business name Hadlock, David Reed
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Feb 6th, 2012 - about 13 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 1629101928 NPPES
Idaho MEDICAID 004312000

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