Stavast, John
Stavast, John is an individual health care provider with primary practice located at 2640 Channing Way , Idaho Falls ID 83404-7517. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Stavast, John can be contacted via phone (208) 552-2248.Contact Information
Primary practice address
2640 Channing Way
Idaho Falls ID 83404-7517
Phone: (208) 552-2248
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT - 4630 | Idaho |
Profile Details
| NPI number | 1982050894 |
|---|---|
| LBN Legal business name | Stavast, John |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2016 |
| Last updated | May 10th, 2016 - about 8 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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