Hetland, Nancy Lynn
Hetland, Nancy Lynn is an individual health care provider with primary practice located at 1900 N Main St , Mitchell SD 57301-1160. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Hetland, Nancy Lynn can be contacted via phone (605) 996-7042.Contact Information
Primary practice address
1900 N Main St
Mitchell SD 57301-1160
Phone: (605) 996-7042
Fax: (605) 996-6627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | Illinois |
Profile Details
| NPI number | 1659460889 |
|---|---|
| LBN Legal business name | Hetland, Nancy Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 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 | 1659460889 | NPPES |
| Illinois | Other | IL-9397 | EYEMED PROVIDER NUMBER |
| Illinois | Other | 0040030744 | EYEMED PROVIDER NUMBER |
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