Hauck, Brandon Steven
Hauck, Brandon Steven is an sole proprietor health care provider with primary practice located at 1428 2Nd Ave N , Fort Dodge IA 50501-4119. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hauck, Brandon Steven can be contacted via phone (515) 573-1145.Contact Information
Primary practice address
1428 2Nd Ave N
Fort Dodge IA 50501-4119
Phone: (515) 573-1145
Fax: (515) 573-1028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 078302 | Iowa |
Profile Details
| NPI number | 1346620432 |
|---|---|
| LBN Legal business name | Hauck, Brandon Steven |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2015 |
| Last updated | Oct 20th, 2015 - about 11 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 | 1346620432 | NPPES |
| Iowa | MEDICAID | 0000389 | |
| Iowa | Other | D02825 |
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