Billington, Brad Wayne

Billington, Brad Wayne is an individual health care provider with primary practice located at 185 W 4Th Ave Suite C, Post Falls ID 83854-4978. 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. Billington, Brad Wayne can be contacted via phone (208) 777-8851.

Contact Information

Primary practice address
185 W 4Th Ave Suite C Post Falls ID 83854-4978
Phone: (208) 777-8851
Fax: (208) 777-8851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 266 Idaho

Profile Details

NPI number 1609815331
LBN Legal business name Billington, Brad Wayne
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Nov 17th, 2015 - about 10 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 1609815331 NPPES
Idaho MEDICAID 805136200

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