Nash, Jonathan Becket
Nash, Jonathan Becket is an sole proprietor health care provider with primary practice located at 2517 17Th St Suite A, Lewiston ID 83501. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Nash, Jonathan Becket can be contacted via phone (208) 746-1373.Contact Information
Primary practice address
2517 17Th St Suite A
Lewiston ID 83501
Phone: (208) 746-1373
Fax: (208) 746-9855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D3242 | Idaho |
Profile Details
| NPI number | 1992813182 |
|---|---|
| LBN Legal business name | Nash, Jonathan Becket |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Jul 18th, 2023 - about last year |
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 | 1992813182 | NPPES |
| Other | 149960173 | ADA | |
| Other | 000010011285 | ADA | |
| Other | 6A242 | ADA | |
| MEDICAID | 805043900 | ADA |
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