Kim, Michael Chang-Bae

Kim, Michael Chang-Bae is an individual health care provider with primary practice located at 1132 E Polston Ave , Post Falls ID 83854-6045. 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. Kim, Michael Chang-Bae can be contacted via phone (208) 777-7800.

Contact Information

Primary practice address
1132 E Polston Ave Post Falls ID 83854-6045
Phone: (208) 777-7800
Fax: (208) 777-9209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00006323 Washington

Profile Details

NPI number 1235218371
LBN Legal business name Kim, Michael Chang-Bae
Credentials DPT, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated May 5th, 2022 - about 3 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 1235218371 NPPES
Idaho MEDICAID 1134149941

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