Pitkin, D. H.

Pitkin, D. H. is an sole proprietor health care provider with primary practice located at 6700 W Emerald St , Boise ID 83704-8727. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Pitkin, D. H. can be contacted via phone (208) 376-3550.

Contact Information

Primary practice address
6700 W Emerald St Boise ID 83704-8727
Fax: (208) 321-2710
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 0DP-510 Idaho

Profile Details

NPI number 1861408379
LBN Legal business name Pitkin, D. H.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Nov 29th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861408379 NPPES
Idaho MEDICAID 002455800

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