Hougland, Timothy C

Hougland, Timothy C is an individual health care provider with primary practice located at 1445 Christy Dr Ste A , Jefferson City MO 65101-2853. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hougland, Timothy C can be contacted via phone (573) 659-5560.

Contact Information

Primary practice address
1445 Christy Dr Ste A Jefferson City MO 65101-2853
Phone: (573) 659-5560
Fax: (573) 659-5561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2011018572 Missouri

Profile Details

NPI number 1760776140
LBN Legal business name Hougland, Timothy C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2011
Last updated Aug 23rd, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760776140 NPPES
Other 12273374 CAQH
Other 2011018572 CAQH

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