Clements, Steven Don
Clements, Steven Don is an sole proprietor health care provider with primary practice located at 421 N Cole Rd # 102 , Boise ID 83704-9114. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Clements, Steven Don can be contacted via phone (208) 685-0416.Contact Information
Primary practice address
421 N Cole Rd # 102
Boise ID 83704-9114
Phone: (208) 685-0416
Fax: (208) 685-0418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP669 | Idaho |
Profile Details
| NPI number | 1801848544 |
|---|---|
| LBN Legal business name | Clements, Steven Don |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2006 |
| Last updated | Nov 30th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801848544 | NPPES |
| Idaho | MEDICAID | 000308300 |
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