Stewart, Tyce Alden
Stewart, Tyce Alden is an sole proprietor health care provider with primary practice located at 285 W Francis St , Blackfoot ID 83221-1751. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Stewart, Tyce Alden can be contacted via phone (208) 785-0123.Contact Information
Primary practice address
285 W Francis St
Blackfoot ID 83221-1751
Phone: (208) 785-0123
Fax: (208) 782-1885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-6224 | Idaho |
Profile Details
| NPI number | 1013574748 |
|---|---|
| LBN Legal business name | Stewart, Tyce Alden |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2019 |
| Last updated | May 29th, 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.
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