Rawlings, Jody Boyd

Rawlings, Jody Boyd is an sole proprietor health care provider with primary practice located at 217 N 2Nd East , Rexburg ID 83440-1621. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rawlings, Jody Boyd can be contacted via phone (208) 359-6127.

Contact Information

Primary practice address
217 N 2Nd East Rexburg ID 83440-1621
Phone: (208) 359-6127
Fax: (208) 359-9479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT 1346 Idaho

Profile Details

NPI number 1497897458
LBN Legal business name Rawlings, Jody Boyd
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Jun 21st, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497897458 NPPES
Other 185556100 U.S. DEPT OF LABOR
Other 650015362 U.S. DEPT OF LABOR
Other T3860 U.S. DEPT OF LABOR
Other 000010020600 U.S. DEPT OF LABOR
MEDICAID 1210564 U.S. DEPT OF LABOR
MEDICAID 805399800 U.S. DEPT OF LABOR

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