Whiting, Michael Anthony

Whiting, Michael Anthony is an individual health care provider with primary practice located at 850 W Ironwood Dr Ste 103, Coeur D Alene ID 83814-4903. 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. Whiting, Michael Anthony can be contacted via phone (208) 664-1119.

Contact Information

Primary practice address
850 W Ironwood Dr Ste 103 Coeur D Alene ID 83814-4903
Fax: (208) 765-4340
Website:

Health care specialties

Profile Details

NPI number 1902802549
LBN Legal business name Whiting, Michael Anthony
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jun 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902802549 NPPES
Idaho MEDICAID 807065400

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