Egbert, Lon Miguel
Egbert, Lon Miguel is an individual health care provider with primary practice located at 128 5Th Ave W , Jerome ID 83338-1863. 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. Egbert, Lon Miguel can be contacted via phone (208) 324-3090.Contact Information
Primary practice address
128 5Th Ave W
Jerome ID 83338-1863
Phone: (208) 324-3090
Fax: (208) 324-3093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT1686 | Idaho |
Profile Details
| NPI number | 1437130952 |
|---|---|
| LBN Legal business name | Egbert, Lon Miguel |
| Credentials | PT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437130952 | NPPES |
| Idaho | Other | T6962 | BLUE CROSS |
| Idaho | Other | 000010140741 | BLUE CROSS |
Popular Providers
-
Alfs, Donna Starodoj
128 5Th Ave W , Jerome ID 83338-1863 -
Paonessa, Peter A
7601 W Jefferson Blvd , Fort Wayne IN 46804-4133 -
Hover, Ian
8240 W. Cactus Road , Peoria AZ 85381 -
Axman, Clinton
128 5Th Ave W , Jerome ID 83338-1863 -
Mason, Scott Reid
111 Pioneer Ct , Jerome ID 83338-5149 -
Mcgrogan, Sharol
557 Pilgrim Dr Ste B, Foster City CA 94404-1211 -
Cobbley, Austin
111 Pioneer Ct , Jerome ID 83338-5149 -
Koop, Douglas P
4859 W Sylvania Ave Ste A , Toledo OH 43623-3372