Smith, Jordan David

Smith, Jordan David is an individual health care provider with primary practice located at 323 E Riverside Dr Ste 224 , Eagle ID 83616-6865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smith, Jordan David can be contacted via phone (208) 302-6000.

Contact Information

Primary practice address
323 E Riverside Dr Ste 224 Eagle ID 83616-6865
Phone: (208) 302-6000
Fax: (208) 302-6055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD166846 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A105728 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M-15536 Idaho

Profile Details

NPI number 1336345263
LBN Legal business name Smith, Jordan David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Jun 14th, 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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