Harris, Jay M.
Harris, Jay M. is an sole proprietor health care provider with primary practice located at 3815 Washington Pkwy , Idaho Falls ID 83404-7591. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Harris, Jay M. can be contacted via phone (208) 529-4500.Contact Information
Primary practice address
3815 Washington Pkwy
Idaho Falls ID 83404-7591
Phone: (208) 529-4500
Fax: (208) 524-6248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1641 | Idaho |
Profile Details
| NPI number | 1851438709 |
|---|---|
| LBN Legal business name | Harris, Jay M. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 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 | 1851438709 | NPPES |
| Idaho | Other | 852027 | PROVIDER NUMBER |
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