Overduyn, Marnee
Overduyn, Marnee is an individual health care provider with primary practice located at 7905 W Ustick Rd Ste E, Boise ID 83704-5001. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Overduyn, Marnee can be contacted via phone (208) 322-6211.Contact Information
Primary practice address
7905 W Ustick Rd Ste E
Boise ID 83704-5001
Phone: (208) 322-6211
Fax: (208) 322-6304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X |
Profile Details
| NPI number | 1386190411 |
|---|---|
| LBN Legal business name | Overduyn, Marnee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2016 |
| Last updated | Aug 29th, 2016 - about 10 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 | 1386190411 | NPPES |
| Idaho | MEDICAID | 1447439674 |
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