Schow, Michael Wade

Schow, Michael Wade is an individual health care provider with primary practice located at 1450 East Fairview Avenue #201, Meridian ID 83642. 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. Schow, Michael Wade can be contacted via phone (208) 887-6757.

Contact Information

Primary practice address
1450 East Fairview Avenue #201 Meridian ID 83642
Phone: (208) 887-6757
Fax: (208) 887-6551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X RPT510 Idaho

Profile Details

NPI number 1154424752
LBN Legal business name Schow, Michael Wade
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jul 8th, 2007 - about 18 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 1154424752 NPPES
Idaho MEDICAID 0027023000

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