Aberg, Jason Brooks

Aberg, Jason Brooks is an individual health care provider with primary practice located at 1673 W Shoreline Dr Suite 230, Boise ID 83702. 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. Aberg, Jason Brooks can be contacted via phone (208) 343-4700.

Contact Information

Primary practice address
1673 W Shoreline Dr Suite 230 Boise ID 83702
Phone: (208) 343-4700
Fax: (208) 343-4706
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 1648 Idaho

Profile Details

NPI number 1982611836
LBN Legal business name Aberg, Jason Brooks
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Apr 8th, 2008 - about 17 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 1982611836 NPPES
Idaho MEDICAID 1375990
Idaho Other RPT1648

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