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Contact Information

PHARES B HORMAN, PT
3456 E 17TH ST
SUITE 130
AMMON, ID83406-6757
 Phone: 208-523-0030
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for PHARES B HORMAN · (Male)

NPI # 1013087576
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 11/09/2006
Last updated 07/09/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • ID License # PT-727
  • ID Other 8M467 BLUE CROSS GROUP NUMBER
  • ID Other TD207 BLUE CROSS INDIVIDUAL #
  • ID Other 000010152186 BLUE SHIELD GROUP NUMBER
  • ID Other 000010152190 BLUE SHIELD INDIV. NUMBER
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.

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