Smith, Tyler Jonathon
Smith, Tyler Jonathon is an sole proprietor health care provider with primary practice located at 2409 N Cribbens Ave , Boise ID 83713-5239. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Smith, Tyler Jonathon can be contacted via phone (208) 484-2047.Contact Information
Primary practice address
2409 N Cribbens Ave
Boise ID 83713-5239
Phone: (208) 484-2047
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT-261 | Idaho |
Profile Details
| NPI number | 1770611261 |
|---|---|
| LBN Legal business name | Smith, Tyler Jonathon |
| Credentials | Licensed Athletic Trainer (LAT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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