Jardine, Barry Wayne
Jardine, Barry Wayne is an individual health care provider with primary practice located at 1910 S. Meridan Rd. Suite 150, Meridian ID 83642-4842. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jardine, Barry Wayne can be contacted via phone (208) 888-3540.Contact Information
Primary practice address
1910 S. Meridan Rd. Suite 150
Meridian ID 83642-4842
Phone: (208) 888-3540
Fax: (208) 888-3930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D-3807 | Idaho |
Profile Details
| NPI number | 1992838627 |
|---|---|
| LBN Legal business name | Jardine, Barry Wayne |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Aug 31st, 2016 - about 8 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 | 1992838627 | NPPES |
| Idaho | MEDICAID | 8069432 |
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