National Provider Identifier Database

JACOB M HARRIS, MD – NPI #1679717946
Addiction Medicine

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine


Contact Information

JACOB M HARRIS, MD
500 W FORT ST
BOISE, ID83702-4599
Phone: 208-422-1000
Fax: 208-422-1270
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X

* Indicates primary specialty

NPI Profile & details for JACOB M HARRIS

NPI Number 1679717946
Credentials MD
Entity Individual
Enumeration date 04/29/2009
Last updated 11/24/2025 - About 6 months ago
Sole proprietor1 Yes
Identifiers
  • ID License #: M-12487
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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