Hanson, Douglass Eugene
Hanson, Douglass Eugene is an sole proprietor health care provider with primary practice located at 24 E Main St , Rexburg ID 83440-1927. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Hanson, Douglass Eugene can be contacted via phone (208) 356-0881.Contact Information
Primary practice address
24 E Main St
Rexburg ID 83440-1927
Phone: (208) 356-0881
Fax: (208) 359-9680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | ODP 0703 | Idaho |
Profile Details
| NPI number | 1225178593 |
|---|---|
| LBN Legal business name | Hanson, Douglass Eugene |
| Credentials | OPTOMETRIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Apr 25th, 2012 - about 12 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.
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