Individual
JUSTIN HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
3003 W MAIN ST STE 130, BOISE, ID 83702-2026
(208) 342-7610
(208) 344-1799
Mailing address
3003 W MAIN ST STE 130, BOISE, ID 83702-2026
(208) 342-7610
(208) 344-1799
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
D-4845OS
ID
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
M-13732
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104248053
—
ID
Enumeration date
02/28/2011
Last updated
04/16/2018
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