Weishaar, Jamie
Weishaar, Jamie is an individual health care provider with primary practice located at 745 S Progress Ave , Meridian ID 83642-5619. 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. Weishaar, Jamie can be contacted via phone (208) 895-0309.Contact Information
Primary practice address
745 S Progress Ave
Meridian ID 83642-5619
Phone: (208) 895-0309
Fax: (208) 895-0311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT28099 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT2909 | Idaho |
Profile Details
| NPI number | 1871632646 |
|---|---|
| LBN Legal business name | Weishaar, Jamie |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Oct 16th, 2015 - about 11 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 | 1871632646 | NPPES |
| California | Other | PT28099 | PHYSICAL THERAPY |
| California | Other | PT2909 | PHYSICAL THERAPY |
| California | Other | PT10765 | PHYSICAL THERAPY |
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