Stevens, Dallas
Stevens, Dallas is an individual health care provider with primary practice located at 1232 Pleasantview , Rexburg ID 83440-5316. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Stevens, Dallas can be contacted via phone (208) 709-7314.Contact Information
Primary practice address
1232 Pleasantview
Rexburg ID 83440-5316
Phone: (208) 709-7314
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-100186 | Idaho |
Profile Details
| NPI number | 1174775332 |
|---|---|
| LBN Legal business name | Stevens, Dallas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2008 |
| Last updated | May 1st, 2020 - about 5 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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