Boespflug, Daniel Richard
Boespflug, Daniel Richard is an individual health care provider with primary practice located at 3293 N Milwaukee St , Boise ID 83704-4446. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Boespflug, Daniel Richard can be contacted via phone (208) 322-2020.Contact Information
Primary practice address
3293 N Milwaukee St
Boise ID 83704-4446
Phone: (208) 322-2020
Fax: (208) 322-1192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0-683 | Idaho |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 0-683 | Idaho |
Profile Details
| NPI number | 1962441303 |
|---|---|
| LBN Legal business name | Boespflug, Daniel Richard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Jun 2nd, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962441303 | NPPES |
| Idaho | MEDICAID | 2728000 | |
| Idaho | Other | 0198230001 | |
| Idaho | Other | V6838 | |
| Idaho | Other | 000010015186 |
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