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Contact Information

JACOB BOWER
1601 12TH AVE RD
SUITE 101
NAMPA, ID83686-5015
 Phone: 208-466-0200
 Fax: 208-621-3140
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JACOB BOWER · (Male)

NPI # 1891153391
Status Active
Credentials
Entity Individual
Enumeration date 01/29/2016
Last updated 05/25/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # CHIA-1618
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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