Lame, Jacob L

Lame, Jacob L is an individual health care provider with primary practice located at 909 Reserve St. , Boise ID 83712. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Lame, Jacob L can be contacted via phone (208) 343-7717.

Contact Information

Primary practice address
909 Reserve St. Boise ID 83712
Phone: (208) 343-7717
Fax: (208) 336-4629
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA-370 Idaho

Profile Details

NPI number 1588937130
LBN Legal business name Lame, Jacob L
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2012
Last updated Feb 13th, 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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