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Contact Information

JACOB BINGHAM, MD
1501 HILAND AVE STE C
BURLEY, ID83318-2682
 Phone: 208-677-6080
 Fax: 208-677-6090
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JACOB BINGHAM · (Male)

NPI # 1144609314
Status Active
Credentials MD
Entity Individual
Enumeration date 05/21/2015
Last updated 03/07/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A168110
  • ID License # M15808
  • PA License # MT208785
Hospital affiliation(s)
  • CASSIA REGIONAL MEDICAL CENTER - (Critical Access)
    1501 HILAND AVENUE
    BURLEY, ID 83318
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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