Aesthetic Eye Pc is a Specialist based in Lodi, ID. Aesthetic Eye Pc practices in Ketchum, ID. The NPI Number for Aesthetic Eye Pc is 1881989895 and holds a License No. M-11139 (Idaho).
The current practice location address for Aesthetic Eye Pc is 360 E 9Th St #3, Ketchum, ID and can be reached out via phone at 541-482-2821.
Location: 360 E 9Th St #3, Ketchum, ID, 95242-8341
Provider Profile Details
NPI Number
1881989895
Provider Name
Aesthetic Eye Pc
Credential
Provider Entity Type
Organization
Address
360 E 9Th St #3, Ketchum, ID, 95242-8341
Phone Number
541-482-2821
Fax Number
Provider Enumeration Date
06/17/2011
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942345228 | 01 | INDIVIDUAL NPI | |
| M-11139 | 01 | ID | MD LICENSE |
Provider Business Practice Location Address Details
Address
360 E 9Th St #3
City
State
Zip
83340
Phone Number
541-482-2821
Fax Number
Provider Business Mailing Address Details
Address
360 E 9Th St #3
City
State
Zip
83340
Phone Number
541-482-2821
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
M-11139 (Idaho)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Badge
Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.