Muto, John Howard
Muto, John Howard is an individual health care provider with primary practice located at 1175 W Boise Ave , Boise ID 83706-3503. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Muto, John Howard can be contacted via phone (208) 384-9194.Contact Information
Primary practice address
1175 W Boise Ave
Boise ID 83706-3503
Phone: (208) 384-9194
Fax: (208) 384-9327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-612 | Idaho |
Profile Details
| NPI number | 1912091174 |
|---|---|
| LBN Legal business name | Muto, John Howard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jun 29th, 2010 - about 16 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 | 1912091174 | NPPES |
| Idaho | MEDICAID | 002597500 |
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