Musgrave, Gary D
Musgrave, Gary D is an sole proprietor health care provider with primary practice located at 3314 N. Cole Rd. , Boise ID 83704. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Musgrave, Gary D can be contacted via phone (208) 377-9930.Contact Information
Primary practice address
3314 N. Cole Rd.
Boise ID 83704
Phone: (208) 377-9930
Fax: (208) 377-9932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | CHIA-1306 | Idaho |
| Chiropractic Providers / Sports Physician | 111NS0005X | 1586 | Ohio |
Profile Details
| NPI number | 1003930967 |
|---|---|
| LBN Legal business name | Musgrave, Gary D |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 18th, 2007 |
| Last updated | Feb 4th, 2009 - about 15 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 | 1003930967 | NPPES |
| Ohio | Other | 341690892-00 | BWC |
| Ohio | Other | 000000136764 | BWC |
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