Lillemo, Scott Lee
Lillemo, Scott Lee is an sole proprietor health care provider with primary practice located at 8827 N Government Way , Hayden ID 83835-8231. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Lillemo, Scott Lee can be contacted via phone (208) 762-3455.Contact Information
Primary practice address
8827 N Government Way
Hayden ID 83835-8231
Phone: (208) 762-3455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X |
Profile Details
| NPI number | 1316169543 |
|---|---|
| LBN Legal business name | Lillemo, Scott Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jul 14th, 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 | 1316169543 | NPPES |
| Idaho | Other | V7778 | BLUE CROSS OF IDAHO |
| Idaho | Other | 000010138836 | BLUE CROSS OF IDAHO |
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