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Contact Information

JASON ADAMS
5431 N GOVERNMENT WAY
COEUR D'ALENE, ID83815-5073
 Phone: 208-667-7603
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JASON ADAMS · (Male)

NPI Number 1306274055
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2013
Last updated 10/16/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • OR License # JLA10-12
Hospital affiliation(s) Not Available
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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