Norris, Jonathan Paul
Norris, Jonathan Paul is an individual health care provider with primary practice located at 265 N 3Rd E , Mountain Home ID 83647-2734. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Norris, Jonathan Paul can be contacted via phone (208) 587-8415.Contact Information
Primary practice address
265 N 3Rd E
Mountain Home ID 83647-2734
Phone: (208) 587-8415
Fax: (208) 587-8416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-100171 | Idaho |
Profile Details
| NPI number | 1770748873 |
|---|---|
| LBN Legal business name | Norris, Jonathan Paul |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2008 |
| Last updated | Apr 10th, 2015 - about 11 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 | 1770748873 | NPPES |
| Idaho | MEDICAID | 808220800 |
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