Wheelwright, Dale C
Wheelwright, Dale C is an individual health care provider with primary practice located at 7 N 600 W , Blackfoot ID 83221-5533. 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. Wheelwright, Dale C can be contacted via phone (208) 782-2267.Contact Information
Primary practice address
7 N 600 W
Blackfoot ID 83221-5533
Phone: (208) 782-2267
Fax: (208) 684-9812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | RPT-1406 | Idaho |
Profile Details
| NPI number | 1356304737 |
|---|---|
| LBN Legal business name | Wheelwright, Dale C |
| Credentials | Registered Physical Therapist (RPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Apr 1st, 2014 - about 10 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 | 1356304737 | NPPES |
| Idaho | Other | 000010140771 | NDPT REGENCE BS OF ID |
| Idaho | Other | T6947 | NDPT REGENCE BS OF ID |
| Idaho | Other | 5586533 | NDPT REGENCE BS OF ID |
| Idaho | MEDICAID | 806464000 | NDPT REGENCE BS OF ID |
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