Hathaway, Evan
Hathaway, Evan is an sole proprietor health care provider with primary practice located at 1217 E Iron Eagle Dr , Eagle ID 83616-6599. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hathaway, Evan can be contacted via phone (208) 377-1161.Contact Information
Primary practice address
1217 E Iron Eagle Dr
Eagle ID 83616-6599
Phone: (208) 377-1161
Fax: (208) 938-0567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D2040 | Idaho |
Profile Details
| NPI number | 1033455019 |
|---|---|
| LBN Legal business name | Hathaway, Evan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2012 |
| Last updated | Dec 20th, 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.
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