Diller, Jacob Scott
Diller, Jacob Scott is an individual health care provider with primary practice located at 5513 N Glenwood St Ste D , Boise ID 83714-1332. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Diller, Jacob Scott can be contacted via phone (208) 375-6600.Contact Information
Primary practice address
5513 N Glenwood St Ste D
Boise ID 83714-1332
Phone: (208) 375-6600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AUD3216 | Idaho |
Profile Details
| NPI number | 1902328495 |
|---|---|
| LBN Legal business name | Diller, Jacob Scott |
| Credentials | AUD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2017 |
| Last updated | Jul 17th, 2017 - about 9 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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