Liem, Jonathan Dac-Moang
Liem, Jonathan Dac-Moang is an individual health care provider with primary practice located at 1441 Parkway Dr Ste 1 , Blackfoot ID 83221-1667. 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. Liem, Jonathan Dac-Moang can be contacted via phone (208) 785-3446.Contact Information
Primary practice address
1441 Parkway Dr Ste 1
Blackfoot ID 83221-1667
Phone: (208) 785-3446
Fax: (208) 980-7241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-8771 | Idaho |
Profile Details
| NPI number | 1235903279 |
|---|---|
| LBN Legal business name | Liem, Jonathan Dac-Moang |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2023 |
| Last updated | Nov 9th, 2023 - about 2 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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