Mortensen, Nathan Cody

Mortensen, Nathan Cody is an individual health care provider with primary practice located at 49 E 1St S , Rexburg ID 83440-1966. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mortensen, Nathan Cody can be contacted via phone (208) 356-4444.

Contact Information

Primary practice address
49 E 1St S Rexburg ID 83440-1966
Phone: (208) 356-4444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 100403 Idaho

Profile Details

NPI number 1194253682
LBN Legal business name Mortensen, Nathan Cody
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2017
Last updated May 26th, 2017 - about 8 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.

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