Smith, Peter
Smith, Peter is an individual health care provider with primary practice located at 1450 E Fairview Ave Ste 201 , Meridian ID 83642-1819. 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. Smith, Peter can be contacted via phone (208) 887-6757.Contact Information
Primary practice address
1450 E Fairview Ave Ste 201
Meridian ID 83642-1819
Phone: (208) 887-6757
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1386116663 |
|---|---|
| LBN Legal business name | Smith, Peter |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2018 |
| Last updated | Dec 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386116663 | NPPES |
| Idaho | Other | PT-6008 | PT LICENSE |
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