Heaton, Alisha M
Heaton, Alisha M is an individual health care provider with primary practice located at 1901 E Seltice Way , Post Falls ID 83854-9647. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Heaton, Alisha M can be contacted via phone (208) 667-2531.Contact Information
Primary practice address
1901 E Seltice Way
Post Falls ID 83854-9647
Phone: (208) 667-2531
Fax: (208) 765-9385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 809 | Montana |
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-100199 | Idaho |
Profile Details
| NPI number | 1659605848 |
|---|---|
| LBN Legal business name | Heaton, Alisha M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2009 |
| Last updated | Feb 5th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659605848 | NPPES |
| Idaho | MEDICAID | 1659605848 | |
| Idaho | MEDICAID | 2071233 |
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