Schwarze, Edward T

Schwarze, Edward T is an individual health care provider with primary practice located at 560 Memorial Dr Suite C, Pocatello ID 83201-4073. 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. Schwarze, Edward T can be contacted via phone (208) 233-4648.

Contact Information

Primary practice address
560 Memorial Dr Suite C Pocatello ID 83201-4073
Phone: (208) 233-4648
Fax: (208) 233-4665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT618 Idaho

Profile Details

NPI number 1083788764
LBN Legal business name Schwarze, Edward T
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 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 1083788764 NPPES
Idaho Other 000010144309 BLUE SHIELD
Idaho Other T7937 BLUE SHIELD

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