Bryan D Huntsman in Idaho Falls - Specialist

Bryan D Huntsman - NPI 1851446561

Bryan D Huntsman is a Specialist in Idaho Falls, Idaho. Bryan D Huntsman practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bryan D Huntsman is 1851446561. The last update date is 2010-08-04.

Bryan D Huntsman's current location address is 2570 Channing Way, Idaho Falls, Idaho. You can contact this provider via phone number 2085298005 and fax number 2085290251. The mailing address for Bryan D Huntsman is 2570 Channing Way, Idaho Falls, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Bryan D Huntsman
Address 2570 Channing Way, Idaho Falls, Idaho
Phone Number 2085298005
Fax Number 2085290251
Sole Proprietor N
Credentials M.S., P.T.

NPI Number Detail

NPI Number 1851446561
Provider Enumeration Date 2007-01-24
Last Updated Date 2010-08-04

Provider Mailing Address Detail

Address 2570 Channing Way
City Idaho Falls
State Idaho (ID)
Post Code 834047515
Phone Number 2085298005
Fax Number 2085290251

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No PT-457
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4401200 ID --
10025914 ID BLUE SHIELD OF IDAHO ID#
82-0510764 ID TAX ID#
T-144-3 ID BLUE CROSS OF IDAHO ID#

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FAQs about Bryan D Huntsman

What is the unique identifier code issued to Bryan D Huntsman by the Centers for Medicare & Medicaid Services (CMS)?

The Bryan D Huntsman has been assigned the NPI (National Provider Identifier) 1851446561. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Bryan D Huntsman is located?

The Bryan D Huntsman is situated at the following address: 2570 Channing Way, Idaho Falls, ID, 834047515.

What is Bryan D Huntsman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bryan D Huntsman is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1851446561 to Bryan D Huntsman?

The Centers for Medicare & Medicaid Services assigned the 1851446561 to Bryan D Huntsman on 2007-01-24.

As of what date was the information pertaining to Bryan D Huntsman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Bryan D Huntsman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-08-04.

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