Hicks, Brandon Clark
Hicks, Brandon Clark is an sole proprietor health care provider with primary practice located at 999 N Curtis Suite 205 , Boise ID 83706-1336. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hicks, Brandon Clark can be contacted via phone (208) 373-1200.Contact Information
Primary practice address
999 N Curtis Suite 205
Boise ID 83706-1336
Phone: (208) 373-1200
Fax: (208) 373-1216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7719282-9934 | Utah |
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-100580 | Idaho |
Profile Details
| NPI number | 1679887756 |
|---|---|
| LBN Legal business name | Hicks, Brandon Clark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2010 |
| Last updated | Jun 22nd, 2023 - about 3 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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