Demond, Jeffrey Bowen

Demond, Jeffrey Bowen is an individual health care provider with primary practice located at 2321 E Gala St Suite 1, Meridian ID 83642-4881. 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. Demond, Jeffrey Bowen can be contacted via phone (208) 888-4321.

Contact Information

Primary practice address
2321 E Gala St Suite 1 Meridian ID 83642-4881
Phone: (208) 888-4321
Fax: (208) 895-8747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-1640 Idaho

Profile Details

NPI number 1134165590
LBN Legal business name Demond, Jeffrey Bowen
Credentials MPT, CLT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 9th, 2007 - about 18 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 1134165590 NPPES
Idaho Other 000010154278 REGENCE BLUE SHIELD ID
Idaho Other 11571122 REGENCE BLUE SHIELD ID
Idaho Other TD264 REGENCE BLUE SHIELD ID

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