Page, Dennis Jerome

Page, Dennis Jerome is an sole proprietor health care provider with primary practice located at 10500 W Business Park Ln , Boise ID 83709-6797. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Page, Dennis Jerome can be contacted via phone (208) 938-0081.

Contact Information

Primary practice address
10500 W Business Park Ln Boise ID 83709-6797
Phone: (208) 938-0081
Fax: (208) 938-7741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X M-6970 Idaho

Profile Details

NPI number 1528057445
LBN Legal business name Page, Dennis Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2005
Last updated Dec 20th, 2023 - about 3 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 1528057445 NPPES
Idaho MEDICAID 804106000

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