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
Fax: (208) 336-8441
Website:

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.

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Identifiers

StateTypeNumberIssuer
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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