Hansen, Terry Milo
Hansen, Terry Milo is an individual health care provider with primary practice located at 2828 West 4700 South Suite D, West Valley City UT 84118. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hansen, Terry Milo can be contacted via phone (801) 966-6201.Contact Information
Primary practice address
2828 West 4700 South Suite D
West Valley City UT 84118
Phone: (801) 966-6201
Fax: (801) 966-6609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1040 | Washington |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 109507-9934 | Utah |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 109507-8908 | Utah |
Profile Details
| NPI number | 1417028952 |
|---|---|
| LBN Legal business name | Hansen, Terry Milo |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1417028952 | NPPES |
| Utah | MEDICAID | 519520390009 |
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