Hetland, Nancy Lynn

Hetland, Nancy Lynn is an individual health care provider with primary practice located at 1900 N Main St , Mitchell SD 57301-1160. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Hetland, Nancy Lynn can be contacted via phone (605) 996-7042.

Contact Information

Primary practice address
1900 N Main St Mitchell SD 57301-1160
Fax: (605) 996-6627
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X Illinois

Profile Details

NPI number 1659460889
LBN Legal business name Hetland, Nancy Lynn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659460889 NPPES
Illinois Other IL-9397 EYEMED PROVIDER NUMBER
Illinois Other 0040030744 EYEMED PROVIDER NUMBER

Popular Providers