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Contact Information

DANIEL R BOESPFLUG, OD
3293 N MILWAUKEE ST
BOISE, ID83704-4446
 Phone: 208-322-2020
 Fax: 208-322-1192
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for DANIEL R BOESPFLUG · (Male)

NPI # 1962441303
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/04/2006
Last updated 06/02/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • ID License # 0-683
  • ID Medicaid 2728000
  • ID Other V6838 BLUE CROSS
  • ID Other 000010015186 BLUE SHIELD
  • ID Other 0198230001 CIGNA SUPPLIER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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