Robertson, Leo E

Robertson, Leo E is an individual health care provider with primary practice located at 134 S State St , Preston ID 83263. 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. Robertson, Leo E can be contacted via phone (208) 852-4122.

Contact Information

Primary practice address
134 S State St Preston ID 83263
Phone: (208) 852-4122
Fax: (208) 852-7187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-2026 Idaho

Profile Details

NPI number 1346465887
LBN Legal business name Robertson, Leo E
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jul 5th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346465887 NPPES
Idaho MEDICAID 1346465887
Idaho MEDICAID D5960
Idaho Other PT-2026

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