Tadje, Jared P

Tadje, Jared P is an individual health care provider with primary practice located at 2365 E Gala St Ste 1 , Meridian ID 83642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Tadje, Jared P can be contacted via phone (208) 515-2654.

Contact Information

Primary practice address
2365 E Gala St Ste 1 Meridian ID 83642
Phone: (208) 515-2654
Fax: (877) 587-3112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A95193 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 11808 Nevada
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M9901 Idaho

Profile Details

NPI number 1821006289
LBN Legal business name Tadje, Jared P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Feb 27th, 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 1821006289 NPPES
Idaho Other 76938 BLUE CROSS

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