Ideal Option, Pllc
LBN: Ideal Option, Pllc
Ideal Option, Pllc is an health care organization with primary practice located at 3110 Cleveland Blvd Bldg A , Caldwell ID 83605-0718. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Ideal Option, Pllc can be contacted via phone (509) 222-1275, or through Dawson, Brian Jefferson via phone (509) 222-1275.
Contact Information
Primary practice address
3110 Cleveland Blvd Bldg A
Caldwell ID 83605-0718
Phone: (509) 222-1275
Fax:
Website:
Authorized official contact:
Name: Dawson, Brian Jefferson Doctor of Medicine (MD)
Phone: (509) 222-1275
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ||
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | Idaho |
Profile Details
| NPI number | 1548798879 |
|---|---|
| LBN Legal business name | Ideal Option, Pllc |
| DBA Doing business as | |
| Authorized official | Dawson, Brian Jefferson Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 31st, 2017 |
| Last updated | Aug 30th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548798879 | NPPES |
| Idaho | MEDICAID | 1457788275 |
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