Benedetti, C Ric
Benedetti, C Ric is an individual health care provider with primary practice located at 1033 W Quinn Rd 560 Memorial Dr, Pocatello ID 83202-2425. 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. Benedetti, C Ric can be contacted via phone (208) 233-4800.Contact Information
Primary practice address
1033 W Quinn Rd 560 Memorial Dr
Pocatello ID 83202-2425
Phone: (208) 233-4800
Fax: (208) 233-4887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT131 | Idaho |
Profile Details
| NPI number | 1427147784 |
|---|---|
| LBN Legal business name | Benedetti, C Ric |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Feb 4th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427147784 | NPPES |
| Idaho | Other | 650009795 | RAILROAD MEDICARE |
| Idaho | Other | T1542 | RAILROAD MEDICARE |
| Idaho | Other | 000010008588 | RAILROAD MEDICARE |
| Idaho | MEDICAID | 004396600 | RAILROAD MEDICARE |
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