Mayo, Patrick Terry
Mayo, Patrick Terry is an sole proprietor health care provider with primary practice located at 3298 E 17Th Street , Idaho Falls ID 83406. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist. Chiropractic Providers / Chiropractor is his primary health care specialty. Mayo, Patrick Terry can be contacted via phone (208) 522-3863.Contact Information
Primary practice address
3298 E 17Th Street
Idaho Falls ID 83406
Phone: (208) 522-3863
Fax: (208) 522-3863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA434 | Idaho |
| Other Service Providers / Acupuncturist | 171100000X | ACC79 | Idaho |
Profile Details
| NPI number | 1861575961 |
|---|---|
| LBN Legal business name | Mayo, Patrick Terry |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Sep 28th, 2010 - about 16 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 | 1861575961 | NPPES |
| Other | 000010008923 | REGENCE BLUE SHIELD | |
| Other | C4348 | REGENCE BLUE SHIELD |
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