Slade, Jason Bryant

Slade, Jason Bryant is an individual health care provider with primary practice located at 9850 St Lukes Dr , Nampa ID 83687-7912. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Slade, Jason Bryant can be contacted via phone (208) 505-5200.

Contact Information

Primary practice address
9850 St Lukes Dr Nampa ID 83687-7912
Phone: (208) 505-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M-12906 Idaho
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M-12906 Idaho

Profile Details

NPI number 1750672481
LBN Legal business name Slade, Jason Bryant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2011
Last updated Jul 21st, 2022 - about 2 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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