Hayes, Brett E

Hayes, Brett E is an individual health care provider with primary practice located at 3035 W. Mcmillan Road Suite 104, Meridian ID 83646-1080. 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. Hayes, Brett E can be contacted via phone (208) 887-8684.

Contact Information

Primary practice address
3035 W. Mcmillan Road Suite 104 Meridian ID 83646-1080
Phone: (208) 887-8684
Fax: (208) 887-9226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-2036 Idaho

Profile Details

NPI number 1912187287
LBN Legal business name Hayes, Brett E
Credentials MS.PT,
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2007
Last updated Feb 7th, 2012 - about 13 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 1912187287 NPPES
Idaho Other 820520880 TRICARE
Idaho MEDICAID 807962600 TRICARE
Idaho Other TD821 TRICARE
Idaho Other 000010171917 TRICARE

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