Cisco, Dean

Cisco, Dean is an individual health care provider with primary practice located at 700 S Main St , Moscow ID 83843-3056. 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. Cisco, Dean can be contacted via phone (208) 882-4511.

Contact Information

Primary practice address
700 S Main St Moscow ID 83843-3056
Phone: (208) 882-4511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 64348 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7957 Idaho

Profile Details

NPI number 1972296994
LBN Legal business name Cisco, Dean
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2023
Last updated May 26th, 2023 - about 2 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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