Lon Miguel Egbert in Wendell - Physical Therapist

Lon Miguel Egbert - NPI 1437130952

Lon Miguel Egbert is a Physical Therapist in Wendell, Idaho. Lon Miguel Egbert practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Lon Miguel Egbert is 1437130952. The last update date is 2007-07-08.

Lon Miguel Egbert's current location address is 3121 Eagle Ridge Dr, Wendell, Idaho. You can contact this provider via phone number 2085362135. The mailing address for Lon Miguel Egbert is 3121 Eagle Ridge Dr, Wendell, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Lon Miguel Egbert
Address 3121 Eagle Ridge Dr, Wendell, Idaho
Phone Number 2085362135
Fax Number
Sole Proprietor X
Credentials PT, ATC

NPI Number Detail

NPI Number 1437130952
Provider Enumeration Date 2005-11-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3121 Eagle Ridge Dr
City Wendell
State Idaho (ID)
Post Code 833553340
Phone Number 2085362135
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT1686
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
T6962 ID BLUE CROSS
10140741 ID BLUE SHIELD

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FAQs about Lon Miguel Egbert

What is the Lon Miguel Egbert's unique identification number?

The Lon Miguel Egbert has been assigned the NPI (National Provider Identifier) Number 1437130952 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Lon Miguel Egbert's physical address?

The Lon Miguel Egbert is physically located at 3121 Eagle Ridge Dr, in the city of Wendell, ID, with the postal code 833553340.

What is the area of specialization for Lon Miguel Egbert, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lon Miguel Egbert is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.

On what date was the 1437130952 assigned to Lon Miguel Egbert?

The Lon Miguel Egbert was issued its 1437130952 on 2005-11-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Lon Miguel Egbert's information last updated?

The Lon Miguel Egbert's information was last updated on 2007-07-08.

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