Lopez, Jacob Adam

Lopez, Jacob Adam is an sole proprietor health care provider with primary practice located at 960 S Broadway Ave Ste 200 , Boise ID 83706-3667. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Lopez, Jacob Adam can be contacted via phone (208) 433-9211.

Contact Information

Primary practice address
960 S Broadway Ave Ste 200 Boise ID 83706-3667
Phone: (208) 433-9211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1386349645
LBN Legal business name Lopez, Jacob Adam
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2023
Last updated Apr 4th, 2023 - 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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