Kohler, Nathan G
Kohler, Nathan G is an individual health care provider with primary practice located at 320 S Woodruff Ave , Idaho Falls ID 83401-4329. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kohler, Nathan G can be contacted via phone (208) 524-4552.Contact Information
Primary practice address
320 S Woodruff Ave
Idaho Falls ID 83401-4329
Phone: (208) 524-4552
Fax: (208) 524-4559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP100034 | Idaho |
Profile Details
| NPI number | 1386842425 |
|---|---|
| LBN Legal business name | Kohler, Nathan G |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2007 |
| Last updated | Jul 21st, 2007 - about 17 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 | 1386842425 | NPPES |
| Idaho | Other | V5996 | BLUE CROSS INDIVIDUAL |
| Idaho | Other | 000010144177 | BLUE CROSS INDIVIDUAL |
| Idaho | MEDICAID | 806671900 | BLUE CROSS INDIVIDUAL |
| Idaho | Other | 00034 | BLUE CROSS INDIVIDUAL |
| Idaho | Other | 21776 | BLUE CROSS INDIVIDUAL |
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