Hover, Ian
Hover, Ian is an sole proprietor health care provider with primary practice located at 8240 W. Cactus Road , Peoria AZ 85381. 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. Hover, Ian can be contacted via phone (623) 878-9696.Contact Information
Primary practice address
8240 W. Cactus Road
Peoria AZ 85381
Phone: (623) 878-9696
Fax: (623) 776-0668
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6688 | Arizona |
Profile Details
NPI number | 1366445033 |
---|---|
LBN Legal business name | Hover, Ian |
Credentials | PT, MPT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 24th, 2005 |
Last updated | Nov 9th, 2017 - about 7 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 | 1366445033 | NPPES |
Arizona | MEDICAID | 926157 |
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