Comstock, Jacob
Comstock, Jacob is an sole proprietor health care provider with primary practice located at 412 W Pacific St , Blackfoot ID 83221-1726. 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. Comstock, Jacob can be contacted via phone (208) 201-1743.Contact Information
Primary practice address
412 W Pacific St
Blackfoot ID 83221-1726
Phone: (208) 201-1743
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCSW-34156 | Idaho |
Profile Details
| NPI number | 1386039675 |
|---|---|
| LBN Legal business name | Comstock, Jacob |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2015 |
| Last updated | Sep 28th, 2015 - 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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