Klemp, Daniel Robert
Klemp, Daniel Robert is an individual health care provider with primary practice located at 1910 Idaho Street , Lewiston ID 83501-2053. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Klemp, Daniel Robert can be contacted via phone (208) 743-4022.Contact Information
Primary practice address
1910 Idaho Street
Lewiston ID 83501-2053
Phone: (208) 743-4022
Fax: (208) 746-0170
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | ODP897 | Idaho |
Profile Details
NPI number | 1174513238 |
---|---|
LBN Legal business name | Klemp, Daniel Robert |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 28th, 2005 |
Last updated | Aug 7th, 2012 - about 12 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 | 1174513238 | NPPES |
Washington | Other | KLEDA5047950479 | PREMERA |
Washington | Other | 000010015581 | PREMERA |
Washington | MEDICAID | 000309000 | PREMERA |
Washington | Other | V7167 | PREMERA |
Washington | MEDICAID | 2022739 | PREMERA |
Washington | Other | 0133176 | PREMERA |
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