Allred, Jason D

Allred, Jason D is an individual health care provider with primary practice located at 1588 W Cayuse Creek Dr Ste 110, Meridian ID 83646-4795. 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. Allred, Jason D can be contacted via phone (208) 515-7575.

Contact Information

Primary practice address
1588 W Cayuse Creek Dr Ste 110 Meridian ID 83646-4795
Phone: (208) 515-7575
Fax: (208) 515-7578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT1994 Idaho

Profile Details

NPI number 1417998162
LBN Legal business name Allred, Jason D
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Jun 11th, 2019 - about 6 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 1417998162 NPPES
Idaho MEDICAID 807301900

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