Patterson, Reid J

Patterson, Reid J is an individual health care provider with primary practice located at 4776 N Five Mile Rd Suite 101, Boise ID 83713-2715. 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. Patterson, Reid J can be contacted via phone (208) 658-9500.

Contact Information

Primary practice address
4776 N Five Mile Rd Suite 101 Boise ID 83713-2715
Phone: (208) 658-9500
Fax: (208) 658-9501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00009177 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2288 Idaho

Profile Details

NPI number 1750319745
LBN Legal business name Patterson, Reid J
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated May 12th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750319745 NPPES
Washington MEDICAID 8405433

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