Carbone, Jerry Michael

Carbone, Jerry Michael is an individual health care provider with primary practice located at 12249 W Mcmillan Rd , Boise ID 83713-0555. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Carbone, Jerry Michael can be contacted via phone (208) 917-2855.

Contact Information

Primary practice address
12249 W Mcmillan Rd Boise ID 83713-0555
Phone: (208) 917-2855
Fax: (208) 258-7553
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X D-3642EN Idaho

Profile Details

NPI number 1316050628
LBN Legal business name Carbone, Jerry Michael
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Oct 1st, 2014 - about 12 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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