Waldram, Jeremy David
Waldram, Jeremy David is an individual health care provider with primary practice located at 1000 N Curtis Rd Ste 303 , Boise ID 83706-1347. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Waldram, Jeremy David can be contacted via phone (208) 377-4000.Contact Information
Primary practice address
1000 N Curtis Rd Ste 303
Boise ID 83706-1347
Phone: (208) 377-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01069478A | Indiana |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | M-15024 | Idaho |
Profile Details
| NPI number | 1396972311 |
|---|---|
| LBN Legal business name | Waldram, Jeremy David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2009 |
| Last updated | Oct 27th, 2020 - about 6 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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