Pace, Daniel Wayne
Pace, Daniel Wayne is an sole proprietor health care provider with primary practice located at 70 N Main St Suite 102, Bountiful UT 84010-6101. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Pace, Daniel Wayne can be contacted via phone (801) 292-1408.Contact Information
Primary practice address
70 N Main St Suite 102
Bountiful UT 84010-6101
Phone: (801) 292-1408
Fax: (801) 292-1966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4753319-9934 | Utah |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 4753319-9934 | Utah |
Profile Details
| NPI number | 1447271721 |
|---|---|
| LBN Legal business name | Pace, Daniel Wayne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447271721 | NPPES |
| Utah | Other | QM0000041790 | ALTIUS HEALTH PLANS |
| Utah | Other | 47533199901001 | ALTIUS HEALTH PLANS |
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