Heiner, Adam
Heiner, Adam is an sole proprietor health care provider with primary practice located at 3541 W Bavaria St , Eagle ID 83616-6318. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Heiner, Adam can be contacted via phone (208) 939-5005.Contact Information
Primary practice address
3541 W Bavaria St
Eagle ID 83616-6318
Phone: (208) 939-5005
Fax: (208) 939-2496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP 1041 | Idaho |
Profile Details
| NPI number | 1992792469 |
|---|---|
| LBN Legal business name | Heiner, Adam |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Apr 1st, 2021 - about 5 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 | 1992792469 | NPPES |
| Idaho | MEDICAID | 806965200 |
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