White, Brian L
White, Brian L is an individual health care provider with primary practice located at 230 West Mallard Dr A, Boise ID 83706. 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. White, Brian L can be contacted via phone (208) 422-9826.Contact Information
Primary practice address
230 West Mallard Dr A
Boise ID 83706
Phone: (208) 422-9826
Fax: (208) 422-9855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT458 | Idaho |
Profile Details
| NPI number | 1477657468 |
|---|---|
| LBN Legal business name | White, Brian L |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477657468 | NPPES |
| Idaho | MEDICAID | 0027023000 |
Popular Providers
-
Dover, Twila Rose
5255 Overland Rd , Boise ID 83705-2637 -
Booth, Matthew Ryan
415 E Parkcenter Blvd Suite 114, Boise ID 83706-6504 -
Morton, Douglas Eugene
554 N Steelhead Wy #162, Boise ID 83704 -
Hammann, Linda
1188 University Dr , Boise ID 83706-3009 -
Vinsonhaler, Scott
7550 W Emerald St , Boise ID 83704-9015 -
Barnes, Robert M
415 E Parkcenter Blvd Ste 114, Boise ID 83706-6504 -
Jonart, Brian M
1175 E Parkcenter Blvd Ste 101, Boise ID 83706-6751 -
Madden, Jane Anne
6098 E Grand Prairie Dr , Boise ID 83716-4700