Dr. Adam J Shipp
Endodontist
1555 S Timesquare Ln
Boise
, Idaho 83709-8266
Dr. Adam J Shipp
Endodontist
1555 S Timesquare Ln
Boise
, Idaho 83709-8266
(208) 672-8767
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Adam J Shipp
- 1555 S Timesquare Ln
- Boise, ID
- Zip : 83709-8266
- Fax : (208) 672-8767
- Phone : (208) 672-8860
Second Address
- Dr. Adam J Shipp
- 1555 S Timesquare Ln
- Boise, ID
- Zip : 83709-8266
- Fax : (208) 672-8767
- Phone : (208) 672-8860
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | D3834EN | ID |
National Provider Identifier
| NPI | 1114077369 |
|---|---|
| Provider Name | Dr. Adam J Shipp |
| First Address | Boise, ID 83709-8266 |
| Second Address | Boise, ID 83709-8266 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.