Manion, Jeffrey Dwain
Manion, Jeffrey Dwain is an individual health care provider with primary practice located at 933 Sandy Glen Ln , Burley ID 83318-3333. 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. Manion, Jeffrey Dwain can be contacted via phone (402) 290-4584.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-3761 | Idaho |
Profile Details
| NPI number | 1124089974 |
|---|---|
| LBN Legal business name | Manion, Jeffrey Dwain |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Dec 22nd, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124089974 | NPPES |
| Iowa | MEDICAID | 586685 | |
| Iowa | Other | 6536 |
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