Antonie, David John
Antonie, David John is an sole proprietor health care provider with primary practice located at 460 N Milwaukee St Sears Optical, Boise ID 83704-9122. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Antonie, David John can be contacted via phone (208) 375-3030.Contact Information
Primary practice address
460 N Milwaukee St Sears Optical
Boise ID 83704-9122
Phone: (208) 375-3030
Fax: (208) 375-3030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP 896 | Idaho |
Profile Details
| NPI number | 1215071246 |
|---|---|
| LBN Legal business name | Antonie, David John |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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