Clements, Steven Don

Clements, Steven Don is an sole proprietor health care provider with primary practice located at 421 N Cole Rd # 102 , Boise ID 83704-9114. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Clements, Steven Don can be contacted via phone (208) 685-0416.

Contact Information

Primary practice address
421 N Cole Rd # 102 Boise ID 83704-9114
Fax: (208) 685-0418
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP669 Idaho

Profile Details

NPI number 1801848544
LBN Legal business name Clements, Steven Don
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Nov 30th, 2023 - about last year

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 1801848544 NPPES
Idaho MEDICAID 000308300

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