Slavin, Bruce
Slavin, Bruce is an sole proprietor health care provider with primary practice located at 818 Main St Ste E, Salmon ID 83467-4350. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Slavin, Bruce can be contacted via phone (208) 756-3600.Contact Information
Primary practice address
818 Main St Ste E
Salmon ID 83467-4350
Phone: (208) 756-3600
Fax: (208) 756-3772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-0836 | Idaho |
Profile Details
| NPI number | 1538284252 |
|---|---|
| LBN Legal business name | Slavin, Bruce |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1538284252 | NPPES |
| Idaho | Other | 000010015348 | BLUE SHIELD IDAHO |
| Idaho | Other | V7268 | BLUE SHIELD IDAHO |
| Idaho | Other | 0587110001 | BLUE SHIELD IDAHO |
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