Hinckley, Daniel K
Hinckley, Daniel K is an sole proprietor health care provider with primary practice located at 2065 E 17Th St Suite A, Idaho Falls ID 83404-8042. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hinckley, Daniel K can be contacted via phone (208) 522-1764.Contact Information
Primary practice address
2065 E 17Th St Suite A
Idaho Falls ID 83404-8042
Phone: (208) 522-1764
Fax: (208) 522-1766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | M-5686 | Idaho |
Profile Details
| NPI number | 1821106089 |
|---|---|
| LBN Legal business name | Hinckley, Daniel K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Dec 10th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821106089 | NPPES |
| Idaho | MEDICAID | 002665500 |
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