Nielson, Ryan E
Nielson, Ryan E is an individual health care provider with primary practice located at 2320 E Gala St Suite 400, Meridian ID 83642-7091. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Nielson, Ryan E can be contacted via phone (208) 898-0304.Contact Information
Primary practice address
2320 E Gala St Suite 400
Meridian ID 83642-7091
Phone: (208) 898-0304
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-100015 | Idaho |
Profile Details
| NPI number | 1538103148 |
|---|---|
| LBN Legal business name | Nielson, Ryan E |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jul 9th, 2009 - about 15 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 | 1538103148 | NPPES |
| Idaho | Other | V6952 | BLUE CROSS IDAHO |
| Idaho | MEDICAID | 806418900 | BLUE CROSS IDAHO |
| Idaho | Other | 000010139527 | BLUE CROSS IDAHO |
| Idaho | MEDICAID | 806418901 | BLUE CROSS IDAHO |
| Idaho | Other | V6945 | BLUE CROSS IDAHO |
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