Williams, Troy D

Williams, Troy D is an individual health care provider with primary practice located at 657 S Woodruff Ave , Idaho Falls ID 83401-5596. 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. Williams, Troy D can be contacted via phone (208) 552-9886.

Contact Information

Primary practice address
657 S Woodruff Ave Idaho Falls ID 83401-5596
Phone: (208) 552-9886
Fax: (208) 552-9843
Website:
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Health care specialties

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

Profile Details

NPI number 1316961816
LBN Legal business name Williams, Troy D
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 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 1316961816 NPPES
Idaho Other TC027 BLUE CROSS
Idaho Other 000010149845 BLUE CROSS

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