Blackadar Oldham, Kathryn

Blackadar Oldham, Kathryn is an individual health care provider with primary practice located at 802 Shoup St , Salmon ID 83467-4305. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Blackadar Oldham, Kathryn can be contacted via phone (208) 756-2005.

Contact Information

Primary practice address
802 Shoup St Salmon ID 83467-4305
Phone: (208) 756-2005
Fax: (208) 756-4020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-2694 Idaho

Profile Details

NPI number 1437573342
LBN Legal business name Blackadar Oldham, Kathryn
Credentials P.T., DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2014
Last updated Oct 21st, 2016 - 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 1437573342 NPPES
Idaho Other 20005459 MEDICARE PTAN

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