Pettit, Jacob Matthew

Pettit, Jacob Matthew is an individual health care provider with primary practice located at 1250 W Bridge St , Blackfoot ID 83221-5095. 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. Pettit, Jacob Matthew can be contacted via phone (208) 785-8018.

Contact Information

Primary practice address
1250 W Bridge St Blackfoot ID 83221-5095
Phone: (208) 785-8018
Fax: (208) 785-3332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT-8007 Idaho

Profile Details

NPI number 1437888062
LBN Legal business name Pettit, Jacob Matthew
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2022
Last updated Jun 8th, 2022 - about 3 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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