Branvold, David Nels
Branvold, David Nels is an individual health care provider with primary practice located at 801 Pole Line Rd W , Twin Falls ID 83301-5810. 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. Branvold, David Nels can be contacted via phone (208) 814-2495.Contact Information
Primary practice address
801 Pole Line Rd W
Twin Falls ID 83301-5810
Phone: (208) 814-2495
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-3093 | Idaho |
Profile Details
| NPI number | 1265787196 |
|---|---|
| LBN Legal business name | Branvold, David Nels |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2012 |
| Last updated | Feb 12th, 2018 - about 8 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 | 1265787196 | NPPES |
| Idaho | MEDICAID | 1265787196 |
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