Campbell, Ian
Campbell, Ian is an sole proprietor health care provider with primary practice located at 2195 W Hill Rd , Boise ID 83702-0622. 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. Campbell, Ian can be contacted via phone (208) 850-6995.Contact Information
Primary practice address
2195 W Hill Rd
Boise ID 83702-0622
Phone: (208) 850-6995
Fax: (208) 323-9752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-5047 | Idaho |
Profile Details
| NPI number | 1174051429 |
|---|---|
| LBN Legal business name | Campbell, Ian |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2017 |
| Last updated | Sep 10th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174051429 | NPPES |
| Idaho | Other | PT-5047 | PT LICENSE |
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