Vaughn Powell, Joni D
Vaughn Powell, Joni D is an individual health care provider with primary practice located at 1951 Bench Rd Suite E, Pocatello ID 83201-2073. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Vaughn Powell, Joni D can be contacted via phone (208) 237-2080.Contact Information
Primary practice address
1951 Bench Rd Suite E
Pocatello ID 83201-2073
Phone: (208) 237-2080
Fax: (208) 237-1084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | RPT - 763 | Idaho |
Profile Details
| NPI number | 1962465344 |
|---|---|
| LBN Legal business name | Vaughn Powell, Joni D |
| Credentials | Registered Physical Therapist (RPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1962465344 | NPPES |
| Idaho | Other | T4678 | NDPT BLUE CROSS OF ID |
| Idaho | Other | 000010025951 | NDPT BLUE CROSS OF ID |
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