Mears, Ilise Devine
Mears, Ilise Devine is an individual health care provider with primary practice located at 10208 N Division St Ste 102 , Spokane WA 99218-1570. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mears, Ilise Devine can be contacted via phone (509) 465-5400.Contact Information
Primary practice address
10208 N Division St Ste 102
Spokane WA 99218-1570
Phone: (509) 465-5400
Fax: (509) 465-5401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3359 | Arizona |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00010344 | Washington |
Profile Details
| NPI number | 1194722728 |
|---|---|
| LBN Legal business name | Mears, Ilise Devine |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Jun 27th, 2019 - about 5 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 | 1194722728 | NPPES |
| Arizona | Other | 86059251885711A007 | TRICARE |
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