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:
Health care specialties
| Specialty | Code | License # | 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 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184097271 | NPPES |
| Idaho | Other | PT-433 | BUREAU OF OCCUPATIONAL LICENSES |
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