Thoreson, Nathaniel Scott

Thoreson, Nathaniel Scott is an individual health care provider with primary practice located at 1132 E Polston Ave , Post Falls ID 83854-6045. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Thoreson, Nathaniel Scott can be contacted via phone (208) 777-7800.

Contact Information

Primary practice address
1132 E Polston Ave Post Falls ID 83854-6045
Phone: (208) 777-7800
Fax: (208) 777-9209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT1354 Idaho

Profile Details

NPI number 1790865228
LBN Legal business name Thoreson, Nathaniel Scott
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 19 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 1790865228 NPPES
Idaho Other 000010025022 REGENCE BLUE SHIELD
Idaho Other T3548 REGENCE BLUE SHIELD
Idaho Other 126619 REGENCE BLUE SHIELD
Idaho Other P00155553 REGENCE BLUE SHIELD
Idaho Other 14490 REGENCE BLUE SHIELD

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