Flandro, Michael R

Flandro, Michael R is an individual health care provider with primary practice located at 360 South Arthur Ave , Pocatello ID 83204. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Flandro, Michael R can be contacted via phone (208) 232-6675.

Contact Information

Primary practice address
360 South Arthur Ave Pocatello ID 83204
Phone: (208) 232-6675
Fax: (208) 232-5800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP702 Idaho

Profile Details

NPI number 1740385723
LBN Legal business name Flandro, Michael R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Sep 13th, 2013 - about 12 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 1740385723 NPPES
Idaho MEDICAID 002622900
Idaho Other 0969700001
Idaho Other 000010015363
Idaho Other 410039268
Idaho Other V2811

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