Whitney, Michael D
Whitney, Michael D is an individual health care provider with primary practice located at 1590 E Polston Ave Ste B, Post Falls ID 83854-5218. 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. Whitney, Michael D can be contacted via phone (208) 777-4242.Contact Information
Primary practice address
1590 E Polston Ave Ste B
Post Falls ID 83854-5218
Phone: (208) 777-4242
Fax: (208) 777-4020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00007703 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT1365 | Idaho |
Profile Details
| NPI number | 1619990546 |
|---|---|
| LBN Legal business name | Whitney, Michael D |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jan 2nd, 2008 - 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 | 1619990546 | NPPES |
| Idaho | Other | PT 1365 | IDAHO LICENSE |
| Idaho | MEDICAID | PENDING | IDAHO LICENSE |
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