Morgan, Mark

Morgan, Mark is an individual health care provider with primary practice located at 221 S River St , Hailey ID 83333-8436. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Morgan, Mark can be contacted via phone (208) 788-0061.

Contact Information

Primary practice address
221 S River St Hailey ID 83333-8436
Phone: (208) 788-0061
Fax: (208) 788-2211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT-647 Idaho

Profile Details

NPI number 1013137850
LBN Legal business name Morgan, Mark
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Dec 3rd, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013137850 NPPES
Idaho Other 000010025485 BLUE SHIELD PROVIDER NUM.
Idaho MEDICAID 805397000 BLUE SHIELD PROVIDER NUM.
Idaho Other T6251 BLUE SHIELD PROVIDER NUM.
Idaho Other P00060576 BLUE SHIELD PROVIDER NUM.

Popular Providers