Feasline, Mark E
Feasline, Mark E is an individual health care provider with primary practice located at 1101 E Polston Avenue Suite A, Post Falls ID 83854. 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. Feasline, Mark E can be contacted via phone (208) 773-8111.Contact Information
Primary practice address
1101 E Polston Avenue Suite A
Post Falls ID 83854
Phone: (208) 773-8111
Fax: (208) 773-8385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MPT-1879 | Idaho |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT1879 | Idaho |
Profile Details
| NPI number | 1740386077 |
|---|---|
| LBN Legal business name | Feasline, Mark E |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Sep 1st, 2009 - about 15 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 | 1740386077 | NPPES |
| Washington | Other | 0212540 | LABOR & INDUSTRY |
| Washington | MEDICAID | 807663800 | LABOR & INDUSTRY |
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