Rutten, Ronald

Rutten, Ronald is an sole proprietor health care provider with primary practice located at 300 S 3Rd W , Soda Springs ID 83276-1559. 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. Rutten, Ronald can be contacted via phone (208) 547-3341.

Contact Information

Primary practice address
300 S 3Rd W Soda Springs ID 83276-1559
Phone: (208) 547-3341
Fax: (208) 547-2790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-433 Idaho

Profile Details

NPI number 1184097271
LBN Legal business name Rutten, Ronald
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2015
Last updated Nov 11th, 2015 - about 11 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 1184097271 NPPES
Idaho Other PT-433 BUREAU OF OCCUPATIONAL LICENSES

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