Devitt, Michael John

Devitt, Michael John is an individual health care provider with primary practice located at 1002 N 13Th St , Boise ID 83702-4111. 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. Devitt, Michael John can be contacted via phone (208) 367-1528.

Contact Information

Primary practice address
1002 N 13Th St Boise ID 83702-4111
Fax:
Website:

Health care specialties

Profile Details

NPI number 1851455794
LBN Legal business name Devitt, Michael John
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 8th, 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 1851455794 NPPES
Idaho Other PT-859 STATE LICENSE NUMBER

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