Padron, Jorge
Padron, Jorge is an sole proprietor health care provider with primary practice located at 543 3Rd St , Idaho Falls ID 83401-3909. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Padron, Jorge can be contacted via phone (208) 522-6925.Contact Information
Primary practice address
543 3Rd St
Idaho Falls ID 83401-3909
Phone: (208) 522-6925
Fax: (208) 522-6934
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 155 | Idaho |
Profile Details
| NPI number | 1023444957 |
|---|---|
| LBN Legal business name | Padron, Jorge |
| Credentials | CADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2013 |
| Last updated | Sep 24th, 2013 - about 11 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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