Hopstad, Jerret K

Hopstad, Jerret K is an individual health care provider with primary practice located at 1673 W Shoreline Dr Suite 230, Boise ID 83702. 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. Hopstad, Jerret K can be contacted via phone (208) 343-4700.

Contact Information

Primary practice address
1673 W Shoreline Dr Suite 230 Boise ID 83702
Phone: (208) 343-4700
Fax: (208) 343-4706
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT1315 Idaho

Profile Details

NPI number 1083620553
LBN Legal business name Hopstad, Jerret K
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Apr 8th, 2008 - 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 1083620553 NPPES
Other PT1315 STATE LIC

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