Lebel, Jason Deric

Lebel, Jason Deric is an individual health care provider with primary practice located at 4650 Hawthorne Rd Suite 2B, Pocatello ID 83202-2376. 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. Lebel, Jason Deric can be contacted via phone (208) 221-6952.

Contact Information

Primary practice address
4650 Hawthorne Rd Suite 2B Pocatello ID 83202-2376
Phone: (208) 221-6952
Fax: (208) 238-3349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-2439 Idaho

Profile Details

NPI number 1982905972
LBN Legal business name Lebel, Jason Deric
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2010
Last updated Nov 8th, 2010 - about 15 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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