Huber, Ryan Douglas
Huber, Ryan Douglas is an individual health care provider with primary practice located at 27 N Fisher Park Way Ste 101 , Eagle ID 83616-4795. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Huber, Ryan Douglas can be contacted via phone (208) 514-1858.Contact Information
Primary practice address
27 N Fisher Park Way Ste 101
Eagle ID 83616-4795
Phone: (208) 514-1858
Fax: (844) 840-3190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-100228 | Idaho |
Profile Details
| NPI number | 1558657783 |
|---|---|
| LBN Legal business name | Huber, Ryan Douglas |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2011 |
| Last updated | May 17th, 2022 - about 2 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 | 1558657783 | NPPES |
| Idaho | MEDICAID | 1558657783 |
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