Brown, Dean I

Brown, Dean I is an sole proprietor health care provider with primary practice located at 201 Gateway Blvd , Rock Springs WY 82901-5782. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brown, Dean I can be contacted via phone (208) 547-7153.

Contact Information

Primary practice address
201 Gateway Blvd Rock Springs WY 82901-5782
Fax: (208) 547-2060
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6016TG Texas
Eye and Vision Services Providers / Optometrist 152W00000X 2902 AT Oregon
Eye and Vision Services Providers / Optometrist 152W00000X 399T Wyoming
Eye and Vision Services Providers / Optometrist 152W00000X 100162 Idaho

Profile Details

NPI number 1821051400
LBN Legal business name Brown, Dean I
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2006
Last updated Apr 29th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821051400 NPPES
Idaho Other V2741 BLUE CROSS OF IDAHO
Idaho Other 000010170301 BLUE CROSS OF IDAHO
Idaho Other 000010170302 BLUE CROSS OF IDAHO

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