West, Mark James

West, Mark James is an sole proprietor health care provider with primary practice located at 4700 N Cloverdale Rd Suite #213, Boise ID 83713-1081. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. West, Mark James can be contacted via phone (208) 377-0109.

Contact Information

Primary practice address
4700 N Cloverdale Rd Suite #213 Boise ID 83713-1081
Phone: (208) 377-0109
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA-269 Idaho

Profile Details

NPI number 1629358445
LBN Legal business name West, Mark James
Credentials BC-HIS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2011
Last updated Aug 24th, 2011 - about 14 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 1629358445 NPPES
Idaho MEDICAID 1669601209

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