Lemke, David M

Lemke, David M 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 / Massage Therapist, which is considered as his primary health care specialty. Lemke, David M can be contacted via phone (208) 762-3332.

Contact Information

Primary practice address
1172 W Hayden Ave Hayden ID 83835-8700
Phone: (208) 762-3332
Fax: (208) 762-4268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00009853 Washington

Profile Details

NPI number 1659462034
LBN Legal business name Lemke, David M
Credentials LMP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Mar 6th, 2009 - about 17 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 1659462034 NPPES
Washington Other 0210333 ST OF WASH LABOR & INDUST

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