Gambles, Dallin Brim
Gambles, Dallin Brim is an individual health care provider with primary practice located at 380 Walker Dr , Rexburg ID 83440-1657. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Gambles, Dallin Brim can be contacted via phone (208) 356-9559.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA-236 | Idaho |
Profile Details
| NPI number | 1760533400 |
|---|---|
| LBN Legal business name | Gambles, Dallin Brim |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1760533400 | NPPES |
| Idaho | Other | P00134875 | RAILROAD MEDICARE |
| Idaho | Other | PALDO | RAILROAD MEDICARE |
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