Bond, Carlos William
Bond, Carlos William is an sole proprietor health care provider with primary practice located at 307 Saint Johns Way Suite 7, Lewiston ID 83501-2435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bond, Carlos William can be contacted via phone (208) 798-7388.Contact Information
Primary practice address
307 Saint Johns Way Suite 7
Lewiston ID 83501-2435
Phone: (208) 798-7388
Fax: (208) 798-8151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | O-57 | Idaho |
Profile Details
| NPI number | 1801902515 |
|---|---|
| LBN Legal business name | Bond, Carlos William |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1801902515 | NPPES |
| Washington | MEDICAID | 1102094 |
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