Livermore, Matthew
Livermore, Matthew is an individual health care provider with primary practice located at 4922 Yellowstone Ave Ste K , Chubbuck ID 83202-2360. 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. Livermore, Matthew can be contacted via phone (208) 237-1882.Contact Information
Primary practice address
4922 Yellowstone Ave Ste K
Chubbuck ID 83202-2360
Phone: (208) 237-1882
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-7242 | Idaho |
Profile Details
| NPI number | 1285209676 |
|---|---|
| LBN Legal business name | Livermore, Matthew |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2021 |
| Last updated | May 26th, 2021 - about 4 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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