Nielson, Dennis Earl
Nielson, Dennis Earl is an sole proprietor health care provider with primary practice located at 1012 N Main St , Meridian ID 83642-2304. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Nielson, Dennis Earl can be contacted via phone (208) 888-5252.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-498 | Idaho |
Profile Details
| NPI number | 1104974401 |
|---|---|
| LBN Legal business name | Nielson, Dennis Earl |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Oct 17th, 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 | 1104974401 | NPPES |
| Idaho | Other | V7310 | BLUE CROSS |
| Idaho | Other | 0644950001 | BLUE CROSS |
| Idaho | Other | 15254 | BLUE CROSS |
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