Krall, Darrell Edwin
Krall, Darrell Edwin is an individual health care provider with primary practice located at 2180 W Ironwood Center Dr , Coeur D Alene ID 83814-2639. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Krall, Darrell Edwin can be contacted via phone (208) 625-3680.Contact Information
Primary practice address
2180 W Ironwood Center Dr
Coeur D Alene ID 83814-2639
Phone: (208) 625-3680
Fax: (208) 625-3681
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00005703 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 2251H1200X | PT-468 | Idaho |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-468 | Idaho |
Profile Details
| NPI number | 1972686087 |
|---|---|
| LBN Legal business name | Krall, Darrell Edwin |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jan 27th, 2024 - about last year |
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 | 1972686087 | NPPES |
| Idaho | MEDICAID | 1972686087 |
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