Hauck, Terrance Leo

Hauck, Terrance Leo is an individual health care provider with primary practice located at 101 W Cascade Way Suite 103, Spokane WA 99208-6003. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Hauck, Terrance Leo can be contacted via phone (509) 468-1535.

Contact Information

Primary practice address
101 W Cascade Way Suite 103 Spokane WA 99208-6003
Phone: (509) 468-1535
Fax: (509) 467-6372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 58645 Washington

Profile Details

NPI number 1033109723
LBN Legal business name Hauck, Terrance Leo
Credentials M.D.,D.D.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033109723 NPPES
Washington MEDICAID 5034061
Washington Other 58645
Washington Other 153400

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