National Provider Identifier Database

CAMP HIPPO PEDIATRIC THERAPY LLC
Multi-Specialty


Contact Information

CAMP HIPPO PEDIATRIC THERAPY LLC.
7 N 600 W
BLACKFOOT, ID83221-5533
Phone: 208-782-2267
Fax: 208-684-9812
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X
Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for CAMP HIPPO PEDIATRIC THERAPY LLC.

NPI Number 1902084833
Legal business name
LBN
CAMP HIPPO PEDIATRIC THERAPY LLC.
Authorized official BETTY JAQUES - (OCCUPATIONAL THERAPIST/OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/01/2008
Last updated 02/01/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: OT-232
  • ID Other: 232-OT OT LICENSE

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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