Archibald, David Blaine
Archibald, David Blaine is an individual health care provider with primary practice located at 3303 N University Ave , Provo UT 84604-4438. 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. Archibald, David Blaine can be contacted via phone (801) 373-7438.Contact Information
Primary practice address
3303 N University Ave
Provo UT 84604-4438
Phone: (801) 373-7438
Fax: (801) 373-7486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5014283-2401 | Utah |
Profile Details
| NPI number | 1821083361 |
|---|---|
| LBN Legal business name | Archibald, David Blaine |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Nov 13th, 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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