Jarivs, Jacob Reed
Jarivs, Jacob Reed is an sole proprietor health care provider with primary practice located at 6000 S Quamash Way , Boise ID 83716-5617. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Jarivs, Jacob Reed can be contacted via phone (208) 383-0100.Contact Information
Primary practice address
6000 S Quamash Way
Boise ID 83716-5617
Phone: (208) 383-0100
Fax: (208) 321-5507
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | D3999-OR | Idaho |
Profile Details
NPI number | 1952504318 |
---|---|
LBN Legal business name | Jarivs, Jacob Reed |
Credentials | DMD, MS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 5th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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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