Jackson, Chad Harman
Jackson, Chad Harman is an individual health care provider with primary practice located at 111 W Main St Ste 200 , Boise ID 83702-7308. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Jackson, Chad Harman can be contacted via phone (208) 344-3220.Contact Information
Primary practice address
111 W Main St Ste 200
Boise ID 83702-7308
Phone: (208) 344-3220
Fax: (208) 344-0461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 67198 | Wisconsin |
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | 18691 | Nevada |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | M-15230 | Idaho |
Profile Details
| NPI number | 1184067498 |
|---|---|
| LBN Legal business name | Jackson, Chad Harman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2013 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1184067498 | NPPES |
| Wisconsin | MEDICAID | 1184067498 |
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