Hilborn, Douglas James
Hilborn, Douglas James is an individual health care provider with primary practice located at 1991 W Broadway St Suite 2, Idaho Falls ID 83402-3041. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hilborn, Douglas James can be contacted via phone (208) 529-4333.Contact Information
Primary practice address
1991 W Broadway St Suite 2
Idaho Falls ID 83402-3041
Phone: (208) 529-4333
Fax: (208) 529-4366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-546 | Idaho |
Profile Details
| NPI number | 1831182682 |
|---|---|
| LBN Legal business name | Hilborn, Douglas James |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Oct 15th, 2008 - about 18 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 | 1831182682 | NPPES |
| Idaho | MEDICAID | 1505148 |
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