Frisvold, John Miles
Frisvold, John Miles is an individual health care provider with primary practice located at 3715 Crill Ave , Palatka FL 32177-9168. 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. Frisvold, John Miles can be contacted via phone (386) 329-2613.Contact Information
Primary practice address
3715 Crill Ave
Palatka FL 32177-9168
Phone: (386) 329-2613
Fax: (386) 329-2614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT21516 | Florida |
Profile Details
| NPI number | 1336230796 |
|---|---|
| LBN Legal business name | Frisvold, John Miles |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Mar 14th, 2008 - about 17 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 | 1336230796 | NPPES |
| Florida | Other | Y115R | BCBS |
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