Andreasen, Dirk
Andreasen, Dirk is an individual health care provider with primary practice located at 32 W 1St S , Rexburg ID 83440-1810. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Andreasen, Dirk can be contacted via phone (208) 359-0877.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-737 | Idaho |
Profile Details
| NPI number | 1700953288 |
|---|---|
| LBN Legal business name | Andreasen, Dirk |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700953288 | NPPES |
| Idaho | Other | 327268 | BLUE SHIELD PROVIDER # |
| Idaho | Other | T3761 | BLUE SHIELD PROVIDER # |
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