Bryant, Nancy J

Bryant, Nancy J is an sole proprietor 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. Bryant, Nancy J 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 RPT-092 Idaho

Profile Details

NPI number 1720085046
LBN Legal business name Bryant, Nancy J
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2005
Last updated Jan 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720085046 NPPES
Idaho Other T0304 BLUE CROSS
Idaho Other 185549800 BLUE CROSS
Idaho Other 820517063 BLUE CROSS
Idaho Other 1650588 BLUE CROSS
Idaho MEDICAID 002721200 BLUE CROSS
Idaho Other 000010018448 BLUE CROSS

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