Rardin, Joel Wayne

Rardin, Joel Wayne is an individual health care provider with primary practice located at 904 White Ave , Moscow ID 83843-3932. 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. Rardin, Joel Wayne can be contacted via phone (208) 882-1426.

Contact Information

Primary practice address
904 White Ave Moscow ID 83843-3932
Phone: (208) 882-1426
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6203 Idaho

Profile Details

NPI number 1295396828
LBN Legal business name Rardin, Joel Wayne
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2019
Last updated Jun 28th, 2019 - about 7 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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