Iden, Donald L
Iden, Donald L is an individual health care provider with primary practice located at 4521 S Staples St Ste 100, Corpus Christi TX 78411-2603. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Iden, Donald L can be contacted via phone (361) 993-9363.Contact Information
Primary practice address
4521 S Staples St Ste 100
Corpus Christi TX 78411-2603
Phone: (361) 993-9363
Fax: (361) 993-9366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | E 6811 | Texas |
Profile Details
| NPI number | 1013913318 |
|---|---|
| LBN Legal business name | Iden, Donald L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1013913318 | NPPES |
| Texas | Other | BS # K40V | BLUE CROSS IDENTIFIER |
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