Individual
DR. CHAD HARMAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 W MAIN ST STE 200, BOISE, ID 83702-7308
(208) 344-3220
(208) 344-0461
Mailing address
111 W MAIN ST STE 200, BOISE, ID 83702-7308
(208) 344-3220
(208) 344-0461
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
67198
WI
207W00000X
Ophthalmology Physician
Primary
M-15230
ID
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
18691
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184067498
—
WI
Enumeration date
04/17/2013
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us