Kammer, Jacob

Kammer, Jacob is an individual health care provider with primary practice located at 6533 W Emerald St , Boise ID 83704-8737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Kammer, Jacob can be contacted via phone (208) 367-4197.

Contact Information

Primary practice address
6533 W Emerald St Boise ID 83704-8737
Phone: (208) 367-4197
Fax: (208) 367-8136
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X M9116 Idaho

Profile Details

NPI number 1194761460
LBN Legal business name Kammer, Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Dec 31st, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194761460 NPPES
Idaho MEDICAID 806963700

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