Anderson, Nathan Lee
Anderson, Nathan Lee is an individual health care provider with primary practice located at 90 Hope Dr Bldg 6000 , Mountain Home Afb ID 83648-1062. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Anderson, Nathan Lee can be contacted via phone (208) 828-7250.Contact Information
Primary practice address
90 Hope Dr Bldg 6000
Mountain Home Afb ID 83648-1062
Phone: (208) 828-7250
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-100562 | Idaho |
Profile Details
| NPI number | 1285610444 |
|---|---|
| LBN Legal business name | Anderson, Nathan Lee |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | May 19th, 2022 - about 4 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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