Hernandez, Joel Agado

Hernandez, Joel Agado is an individual 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. Hernandez, Joel Agado 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: (208) 459-2034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-100411 Idaho

Profile Details

NPI number 1952831695
LBN Legal business name Hernandez, Joel Agado
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2017
Last updated Jun 16th, 2018 - about 8 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 1952831695 NPPES
Idaho Other OD100411 OPTOMETRY LICENSE

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