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
Fax: (208) 261-5004
Website:

Health care specialties

SpecialtyCodeLicense #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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