Axman, Clinton

Axman, Clinton is an individual health care provider with primary practice located at 128 5Th Ave W , Jerome ID 83338-1863. 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. Axman, Clinton can be contacted via phone (208) 324-3090.

Contact Information

Primary practice address
128 5Th Ave W Jerome ID 83338-1863
Phone: (208) 324-3090
Fax: (208) 324-3093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2915 Idaho

Profile Details

NPI number 1982986923
LBN Legal business name Axman, Clinton
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2011
Last updated Sep 15th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982986923 NPPES
Idaho MEDICAID PENDING
Idaho Other PENDING

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