Stebel, Holly Lynn
Stebel, Holly Lynn is an individual health care provider with primary practice located at 13075 Persimmon Ln., Suite A , Boise ID 83713-2078. She recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Stebel, Holly Lynn can be contacted via phone (208) 938-9900.Contact Information
Primary practice address
13075 Persimmon Ln., Suite A
Boise ID 83713-2078
Phone: (208) 938-9900
Fax: (208) 939-9264
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-1027 | Idaho |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | ODP-1027 | Idaho |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | ODP-1027 | Idaho |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | ODP-1027 | Idaho |
Profile Details
NPI number | 1982654612 |
---|---|
LBN Legal business name | Stebel, Holly Lynn |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2006 |
Last updated | Feb 18th, 2008 - about 16 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 | 1982654612 | NPPES |
Idaho | Other | 40858 | DAVIS |
Idaho | Other | V3074 | DAVIS |
Idaho | Other | 1902007263 | DAVIS |
Idaho | Other | 000010160953 | DAVIS |
Idaho | Other | 8N117 | DAVIS |
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