Drake, James Garl
Drake, James Garl is an individual health care provider with primary practice located at 1088 N Skyline Dr , Idaho Falls ID 83402-1726. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Drake, James Garl can be contacted via phone (208) 524-0870.Contact Information
Primary practice address
1088 N Skyline Dr
Idaho Falls ID 83402-1726
Phone: (208) 524-0870
Fax: (208) 524-0873
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D-3723 | Idaho |
Profile Details
| NPI number | 1164589982 |
|---|---|
| LBN Legal business name | Drake, James Garl |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Aug 7th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164589982 | NPPES |
| Idaho | MEDICAID | 806768500 |
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