Blair, Chad

Blair, Chad is an individual health care provider with primary practice located at 535 N Locust Grove Rd Ste 170 , Meridian ID 83642-9379. 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. Blair, Chad can be contacted via phone (208) 917-2660.

Contact Information

Primary practice address
535 N Locust Grove Rd Ste 170 Meridian ID 83642-9379
Phone: (208) 917-2660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT7219 Idaho

Profile Details

NPI number 1396311627
LBN Legal business name Blair, Chad
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2021
Last updated May 27th, 2021 - about 5 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 1396311627 NPPES
Idaho Other PT7219 STATE LICENSE

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