Barnes, Robert M
Barnes, Robert M is an individual health care provider with primary practice located at 415 E Parkcenter Blvd Ste 114, Boise ID 83706-6504. 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. Barnes, Robert M can be contacted via phone (208) 336-8433.Contact Information
Primary practice address
415 E Parkcenter Blvd Ste 114
Boise ID 83706-6504
Phone: (208) 336-8433
Fax: (208) 336-8441
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00008420 | Washington |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 23604 | California |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | RPT1786 | Idaho |
Profile Details
NPI number | 1912974650 |
---|---|
LBN Legal business name | Barnes, Robert M |
Credentials | DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 1st, 2006 |
Last updated | Jan 6th, 2016 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912974650 | NPPES |
Idaho | MEDICAID | 806686000 | |
Idaho | Other | P00061313 | |
Idaho | Other | 0330315 | |
Idaho | MEDICAID | 1912974650-000 | |
Idaho | MEDICAID | 1912974650 |
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