Noble, Todd Anthony
Noble, Todd Anthony is an individual health care provider with primary practice located at 1926 W State St , Boise ID 83702-3957. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Noble, Todd Anthony can be contacted via phone (208) 336-2020.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-1032 | Idaho |
Profile Details
| NPI number | 1548268931 |
|---|---|
| LBN Legal business name | Noble, Todd Anthony |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Jun 5th, 2014 - about 10 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 | 1548268931 | NPPES |
| Idaho | MEDICAID | 8057916 |
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