Hopkin, Jeffrey Gardner
Hopkin, Jeffrey Gardner is an sole proprietor health care provider with primary practice located at 32 W 1St S , Rexburg ID 83440-1810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hopkin, Jeffrey Gardner can be contacted via phone (208) 356-8883.Contact Information
Primary practice address
32 W 1St S
Rexburg ID 83440-1810
Phone: (208) 356-8883
Fax: (208) 656-0292
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M-6910 | Idaho |
Profile Details
| NPI number | 1780797712 |
|---|---|
| LBN Legal business name | Hopkin, Jeffrey Gardner |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jul 30th, 2015 - about 9 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 | 1780797712 | NPPES |
| Idaho | MEDICAID | 003732000 |
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