Haslam, Jason K

Haslam, Jason K is an individual health care provider with primary practice located at 6590 W Norwood Dr , Boise ID 83704-8765. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Haslam, Jason K can be contacted via phone (208) 506-3665.

Contact Information

Primary practice address
6590 W Norwood Dr Boise ID 83704-8765
Phone: (208) 506-3665
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 40324 Tennessee
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 40324 Tennessee
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X MC-2569 Idaho

Profile Details

NPI number 1417986688
LBN Legal business name Haslam, Jason K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Apr 29th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417986688 NPPES
Tennessee MEDICAID 1511195
Tennessee MEDICAID 3816037
Tennessee Other 4351528
Tennessee MEDICAID 7100190980
Tennessee Other 4129574
Tennessee Other 4207969

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