Dye, Paul M
Dye, Paul M is an individual health care provider with primary practice located at 36 Winn Drive Suite #100, Rexburg ID 83440. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Dye, Paul M can be contacted via phone (208) 356-0174.Contact Information
Primary practice address
36 Winn Drive Suite #100
Rexburg ID 83440
Phone: (208) 356-0174
Fax: (208) 356-0176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1920 | Idaho |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 711 | Idaho |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-1920 | Idaho |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT-142 | Idaho |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT-711 | Idaho |
Profile Details
| NPI number | 1548245236 |
|---|---|
| LBN Legal business name | Dye, Paul M |
| Credentials | MPT, MOTR/L, ATC, |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Oct 1st, 2010 - about 14 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 | 1548245236 | NPPES |
| Idaho | Other | 887408 | DMBA |
| Idaho | MEDICAID | 807100400 | DMBA |
| Idaho | MEDICAID | 80710500 | DMBA |
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