Card, Christopher Mark

Card, Christopher Mark is an individual health care provider with primary practice located at 1702 S Kimball Ave , Caldwell ID 83605-4826. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Card, Christopher Mark can be contacted via phone (208) 459-2641.

Contact Information

Primary practice address
1702 S Kimball Ave Caldwell ID 83605-4826
Phone: (208) 459-2641
Fax: (208) 459-2895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPD-579 Idaho

Profile Details

NPI number 1124082169
LBN Legal business name Card, Christopher Mark
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jan 4th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124082169 NPPES
Idaho Other 2309310-01 BLUE CROSS OF OREGON
Idaho Other 000010015187 BLUE CROSS OF OREGON
Idaho Other V5608 BLUE CROSS OF OREGON
Idaho Other 0396900001 BLUE CROSS OF OREGON
Idaho MEDICAID 002523400 BLUE CROSS OF OREGON

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