Stoddard, Austin
Stoddard, Austin is an individual health care provider with primary practice located at 1263 Bennett Ave Ste 2 , Burley ID 83318-4906. 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. Stoddard, Austin can be contacted via phone (208) 678-1191.Contact Information
Primary practice address
1263 Bennett Ave Ste 2
Burley ID 83318-4906
Phone: (208) 678-1191
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-8373 | Idaho |
Profile Details
| NPI number | 1073222659 |
|---|---|
| LBN Legal business name | Stoddard, Austin |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2022 |
| Last updated | Nov 22nd, 2022 - about 4 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 | 1073222659 | NPPES |
| Idaho | MEDICAID | 1669530051 |
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