Prins, Frederick
Prins, Frederick is an sole proprietor health care provider with primary practice located at 691 Shoshone St N , Twin Falls ID 83301-6154. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Prins, Frederick can be contacted via phone (208) 733-1067.Contact Information
Primary practice address
691 Shoshone St N
Twin Falls ID 83301-6154
Phone: (208) 733-1067
Fax: (208) 733-7597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD485 | Idaho |
Profile Details
| NPI number | 1508942616 |
|---|---|
| LBN Legal business name | Prins, Frederick |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Jul 8th, 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 | 1508942616 | NPPES |
| Idaho | Other | 000010015377 | BLUE SHIELD OF IDAHO |
| Idaho | Other | V5673 | BLUE SHIELD OF IDAHO |
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