White, Rodney L
White, Rodney L is an individual health care provider with primary practice located at 901 12Th Ave S , Nampa ID 83651-4658. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. White, Rodney L can be contacted via phone (208) 466-9251.Contact Information
Primary practice address
901 12Th Ave S
Nampa ID 83651-4658
Phone: (208) 466-9251
Fax: (208) 463-1714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP 956 | Idaho |
Profile Details
| NPI number | 1487647509 |
|---|---|
| LBN Legal business name | White, Rodney L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Jan 22nd, 2013 - about 13 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 | 1487647509 | NPPES |
| Idaho | Other | V5467 | BLUE CROSS OF ID |
| Idaho | Other | 000010015540 | BLUE CROSS OF ID |
| Idaho | MEDICAID | 805221700 | BLUE CROSS OF ID |
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