Archibald, Brad

Archibald, Brad is an individual health care provider with primary practice located at 4893 Camas Creek Cir. , Iona ID 83427. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Archibald, Brad can be contacted via phone (208) 351-0651.

Contact Information

Primary practice address
4893 Camas Creek Cir. Iona ID 83427
Phone: (208) 351-0651
Fax: (208) 528-0989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT-637 Idaho

Profile Details

NPI number 1902927056
LBN Legal business name Archibald, Brad
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Jul 8th, 2007 - about 18 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 1902927056 NPPES
Idaho Other TA930 BLUE CROSS GROUP #
Idaho Other W0996 BLUE CROSS GROUP #

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