Wardell, Ben

Wardell, Ben is an sole proprietor 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 Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wardell, Ben 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:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1497104459
LBN Legal business name Wardell, Ben
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2016
Last updated Jun 9th, 2016 - about 10 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 1497104459 NPPES
Idaho MEDICAID 1134149941

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