Hillam, Kirt Bruce
Hillam, Kirt Bruce is an individual health care provider with primary practice located at 139 Alturas St , Idaho Falls ID 83401-4309. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hillam, Kirt Bruce can be contacted via phone (208) 523-5090.Contact Information
Primary practice address
139 Alturas St
Idaho Falls ID 83401-4309
Phone: (208) 523-5090
Fax: (208) 523-5094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D-2033 | Idaho |
Profile Details
| NPI number | 1144339326 |
|---|---|
| LBN Legal business name | Hillam, Kirt Bruce |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 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 | 1144339326 | NPPES |
| Other | 469586 | UNITED CONCORDIA |
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