Hammer, Jason B
Hammer, Jason B is an individual health care provider with primary practice located at 203 7Th Ave S , Nampa ID 83651-3846. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hammer, Jason B can be contacted via phone (208) 466-8400.Contact Information
Primary practice address
203 7Th Ave S
Nampa ID 83651-3846
Phone: (208) 466-8400
Fax: (208) 466-8436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D3819 | Idaho |
Profile Details
| NPI number | 1053441451 |
|---|---|
| LBN Legal business name | Hammer, Jason B |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Apr 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053441451 | NPPES |
| Idaho | Other | 000010159680 | BLUE SHIELD OF ID |
| Idaho | MEDICAID | 807635400 | BLUE SHIELD OF ID |
| Idaho | Other | 1927603 | BLUE SHIELD OF ID |
| Idaho | Other | 6N136 | BLUE SHIELD OF ID |
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