Klemp, Daniel Robert

Klemp, Daniel Robert is an individual health care provider with primary practice located at 1910 Idaho Street , Lewiston ID 83501-2053. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Klemp, Daniel Robert can be contacted via phone (208) 743-4022.

Contact Information

Primary practice address
1910 Idaho Street Lewiston ID 83501-2053
Phone: (208) 743-4022
Fax: (208) 746-0170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP897 Idaho

Profile Details

NPI number 1174513238
LBN Legal business name Klemp, Daniel Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Aug 7th, 2012 - about 13 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 1174513238 NPPES
Washington Other KLEDA5047950479 PREMERA
Washington Other 000010015581 PREMERA
Washington MEDICAID 000309000 PREMERA
Washington Other V7167 PREMERA
Washington MEDICAID 2022739 PREMERA
Washington Other 0133176 PREMERA

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