Cromwell, Philip Gilbert

Cromwell, Philip Gilbert is an individual health care provider with primary practice located at 134 N State St Suite A, Preston ID 83263-1143. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cromwell, Philip Gilbert can be contacted via phone (208) 852-3030.

Contact Information

Primary practice address
134 N State St Suite A Preston ID 83263-1143
Phone: (208) 852-3030
Fax: (208) 852-3031
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP607 Idaho
Eye and Vision Services Providers / Optometrist 152W00000X 1109189934 Utah

Profile Details

NPI number 1720194632
LBN Legal business name Cromwell, Philip Gilbert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Feb 16th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720194632 NPPES
Idaho MEDICAID 1720194632
Idaho MEDICAID 1720194632

Popular Providers