Driscoll, Robert W

Driscoll, Robert W is an individual health care provider with primary practice located at 64 S Star Rd Unit 2 , Star ID 83669-5497. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Driscoll, Robert W can be contacted via phone (208) 488-4250.

Contact Information

Primary practice address
64 S Star Rd Unit 2 Star ID 83669-5497
Phone: (208) 488-4250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT18472 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-7058 Idaho

Profile Details

NPI number 1851507099
LBN Legal business name Driscoll, Robert W
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Mar 13th, 2023 - about 3 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 1851507099 NPPES
California Other PT18472 PHYSICAL THERAPY LICENSE

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