Denney, Mark D

Denney, Mark D is an sole proprietor health care provider with primary practice located at 1340 S Ammon Rd , Ammon ID 83406-5810. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Denney, Mark D can be contacted via phone (208) 523-3141.

Contact Information

Primary practice address
1340 S Ammon Rd Ammon ID 83406-5810
Phone: (208) 523-3141
Fax: (208) 525-2661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP1012 Idaho

Profile Details

NPI number 1962569681
LBN Legal business name Denney, Mark D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Jun 2nd, 2010 - about 16 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 1962569681 NPPES
Idaho Other 000010026621 BLUE SHIELD
Idaho MEDICAID 805561900 BLUE SHIELD
Idaho Other V3918 BLUE SHIELD
Idaho Other 167539 BLUE SHIELD

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