Etter, Boyd A
Etter, Boyd A is an sole proprietor health care provider with primary practice located at 555 N Arlington Ave , Reno NV 89503-4723. 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. Etter, Boyd A can be contacted via phone (775) 788-5242.Contact Information
Primary practice address
555 N Arlington Ave
Reno NV 89503-4723
Phone: (775) 788-5242
Fax: (775) 786-6942
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 869 | Nevada |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
NPI number | 1669460440 |
---|---|
LBN Legal business name | Etter, Boyd A |
Credentials | PT, DIP. MDT, OCS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 6th, 2005 |
Last updated | Feb 6th, 2012 - about 12 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 | 1669460440 | NPPES |
Nevada | MEDICAID | 3416042 |
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