Perry, Joseph Richard

Perry, Joseph Richard is an individual health care provider with primary practice located at 90 Hope Dr , Mountain Home Afb ID 83648-1057. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Perry, Joseph Richard can be contacted via phone (208) 828-7900.

Contact Information

Primary practice address
90 Hope Dr Mountain Home Afb ID 83648-1057
Phone: (208) 828-7900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 13879-24 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X

Profile Details

NPI number 1962926329
LBN Legal business name Perry, Joseph Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2017
Last updated Apr 9th, 2024 - about 2 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 1962926329 NPPES
Wisconsin Other 14056178 CAQH

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