Sanford, Jake W
Sanford, Jake W is an individual health care provider with primary practice located at 1600 Overland Ave , Burley ID 83318-2434. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sanford, Jake W can be contacted via phone (208) 260-0917.Contact Information
Primary practice address
1600 Overland Ave
Burley ID 83318-2434
Phone: (208) 260-0917
Fax: (208) 261-5004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA-1817 | Idaho |
Profile Details
| NPI number | 1184125288 |
|---|---|
| LBN Legal business name | Sanford, Jake W |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2018 |
| Last updated | Feb 23rd, 2018 - about 8 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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