Dye, Jeremy Albert
Dye, Jeremy Albert is an individual health care provider with primary practice located at 1172 W Hayden Ave , Hayden ID 83835-8700. 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. Dye, Jeremy Albert can be contacted via phone (208) 773-8111.Contact Information
Primary practice address
1172 W Hayden Ave
Hayden ID 83835-8700
Phone: (208) 773-8111
Fax: (208) 773-8385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT2429 | Idaho |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT25530 | California |
Profile Details
| NPI number | 1053534461 |
|---|---|
| LBN Legal business name | Dye, Jeremy Albert |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Jun 5th, 2018 - about 7 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 | 1053534461 | NPPES |
| Idaho | Other | PT2429 | BUREAU OF OCCUPATIONAL LICENSES |
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