Moehnke, Terry Donn
Moehnke, Terry Donn is an sole proprietor health care provider with primary practice located at 25 S 16Th St , Fort Dodge IA 50501-5021. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Moehnke, Terry Donn can be contacted via phone (515) 955-6720.Contact Information
Primary practice address
25 S 16Th St
Fort Dodge IA 50501-5021
Phone: (515) 955-6720
Fax: (515) 955-3555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1649 | Iowa |
Profile Details
| NPI number | 1679567481 |
|---|---|
| LBN Legal business name | Moehnke, Terry Donn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Feb 27th, 2014 - about 12 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 | 1679567481 | NPPES |
| Iowa | MEDICAID | 0005843 |
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