NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

JACK LANE IV, PTA
615 29TH ST
LEWISTON, ID83501-3341
 Phone: 208-985-4722
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for JACK LANE IV · (Male)

NPI Number 1275902520
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 09/16/2015
Last updated 09/16/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # PTA-3672
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JACK LANE IV

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for JACK LANE IV
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Nursing & Custodial Care Facilities
COLUMBIA COUNTY HOSPITAL DISTRICT
1012 SOUTH THIRD STREET
DAYTON, WA
HEATHER A SCHAPER, PA
306 N MAIN ST
ABERDEEN, ID
DWIGHT D WALLACE, PHARM.D.
44 S. MAIN ST
ABERDEEN, ID
DRISCOLL DENTAL, PLLC
81 W WASHINGTON AVE
ABERDEEN, ID
GABRIELLE R MESSICK, LMSW
4300 E. FLAMINGO AVE.
83687, ID
KORY ANDERSEN
3100 CHANNING WAY
207514, ID

  View all Nursing & Custodial Care Facilities
v2.403