Aesthetic Eye Pc

LBN: Aesthetic Eye Pc
Aesthetic Eye Pc is an health care organization with primary practice located at 360 E 9Th St #3 , Ketchum ID 83340. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Aesthetic Eye Pc can be contacted via phone (541) 482-2821, or through Mcinnes, Alan W via phone (209) 981-2747.

Contact Information

Primary practice address
360 E 9Th St #3 Ketchum ID 83340
Phone: (541) 482-2821
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcinnes, Alan W Doctor of Medicine (MD)
Phone: (209) 981-2747

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M-11139 Idaho

Profile Details

NPI number 1881989895
LBN Legal business name Aesthetic Eye Pc
DBA Doing business as
Authorized official Mcinnes, Alan W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2011
Last updated Jun 17th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881989895 NPPES
Other 1942345228 INDIVIDUAL NPI
Other M-11139 INDIVIDUAL NPI

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