Gonzales, Nicholas William
Gonzales, Nicholas William is an sole proprietor health care provider with primary practice located at 1906 Fairview Ave Ste 100 , Caldwell ID 83605-5433. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gonzales, Nicholas William can be contacted via phone (208) 459-2020.Contact Information
Primary practice address
1906 Fairview Ave Ste 100
Caldwell ID 83605-5433
Phone: (208) 459-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-100620 | Idaho |
Profile Details
| NPI number | 1538858279 |
|---|---|
| LBN Legal business name | Gonzales, Nicholas William |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2023 |
| Last updated | Jul 19th, 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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