Gagnon, Jeremiah
Gagnon, Jeremiah is an individual health care provider with primary practice located at 710 W Superior St Ste B , Sandpoint ID 83864-1684. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gagnon, Jeremiah can be contacted via phone (208) 263-9000.Contact Information
Primary practice address
710 W Superior St Ste B
Sandpoint ID 83864-1684
Phone: (208) 263-9000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODO-100614 | Idaho |
Profile Details
| NPI number | 1407549207 |
|---|---|
| LBN Legal business name | Gagnon, Jeremiah |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2023 |
| Last updated | Jun 12th, 2023 - about 2 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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