Walker, Matthew Lyle
Walker, Matthew Lyle is an sole proprietor health care provider with primary practice located at 2321 E Gala St Suite 1, Meridian ID 83642-4881. 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. Walker, Matthew Lyle can be contacted via phone (208) 888-4321.Contact Information
Primary practice address
2321 E Gala St Suite 1
Meridian ID 83642-4881
Phone: (208) 888-4321
Fax: (208) 895-8747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT1718 | Idaho |
Profile Details
| NPI number | 1003831249 |
|---|---|
| LBN Legal business name | Walker, Matthew Lyle |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1003831249 | NPPES |
| Idaho | Other | 000010148919 | REGENCE |
| Idaho | Other | TA914 | REGENCE |
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