Hadlock, David Reed
Hadlock, David Reed is an sole proprietor health care provider with primary practice located at 496 C Shoup Ave W , Twin Falls ID 83301-4563. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Reproductive Endocrinology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Hadlock, David Reed can be contacted via phone (208) 735-0000.Contact Information
Primary practice address
496 C Shoup Ave W
Twin Falls ID 83301-4563
Phone: (208) 735-0000
Fax: (208) 734-1717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | O-163 | Idaho |
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | O-163 | Idaho |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 0-163 | Idaho |
Profile Details
| NPI number | 1629101928 |
|---|---|
| LBN Legal business name | Hadlock, David Reed |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Feb 6th, 2012 - about 14 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 | 1629101928 | NPPES |
| Idaho | MEDICAID | 004312000 |
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