Streubel, Daniel N

Streubel, Daniel N is an sole proprietor health care provider with primary practice located at 285 E Little Ave , Driggs ID 83422-5137. 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. Streubel, Daniel N can be contacted via phone (208) 354-1999.

Contact Information

Primary practice address
285 E Little Ave Driggs ID 83422-5137
Fax: (866) 875-1249
Website:

Health care specialties

Profile Details

NPI number 1063542504
LBN Legal business name Streubel, Daniel N
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Sep 17th, 2020 - about 6 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 1063542504 NPPES
Idaho Other TD563 BLUE CROSS IDAHO
Idaho MEDICAID 004405500 BLUE CROSS IDAHO
Idaho Other 000010159590 BLUE CROSS IDAHO

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