Whitesides, Paul D
Whitesides, Paul D is an individual health care provider with primary practice located at 999 N Curtis Rd # 205, Boise ID 83706-9999. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Whitesides, Paul D can be contacted via phone (208) 373-1200.Contact Information
Primary practice address
999 N Curtis Rd # 205
Boise ID 83706-9999
Phone: (208) 373-1200
Fax: (208) 373-1216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP473 | Idaho |
Profile Details
| NPI number | 1629163639 |
|---|---|
| LBN Legal business name | Whitesides, Paul D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Aug 22nd, 2007 - about 18 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 | 1629163639 | NPPES |
| Idaho | Other | V4734 | BLUE CROSS OF IDAHO |
| Idaho | Other | 000010015330 | BLUE CROSS OF IDAHO |
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