Stiegemeier, Derek Louis

Stiegemeier, Derek Louis is an individual health care provider with primary practice located at 415 E Parkcenter Blvd Suite 114, Boise ID 83706-6504. 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. Stiegemeier, Derek Louis can be contacted via phone (208) 433-9211.

Contact Information

Primary practice address
415 E Parkcenter Blvd Suite 114 Boise ID 83706-6504
Phone: (208) 433-9211
Fax: (208) 433-9241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT2080 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1841219920
LBN Legal business name Stiegemeier, Derek Louis
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 3rd, 2013 - about 13 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 1841219920 NPPES
Idaho MEDICAID 1841219920-000
Idaho MEDICAID 807688400
Idaho MEDICAID 1841219920
Idaho MEDICAID 1841219920-002
Idaho Other P00704722
Idaho MEDICAID 1841219920-001

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