Wolthuis, Terry J

Wolthuis, Terry J is an individual health care provider with primary practice located at 1230 North Avenue Suite 3 , Spearfish SD 57783-1572. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wolthuis, Terry J can be contacted via phone (605) 642-4656.

Contact Information

Primary practice address
1230 North Avenue Suite 3 Spearfish SD 57783-1572
Phone: (605) 642-4656
Fax: (605) 717-2413
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T567 South Dakota
Eye and Vision Services Providers / Optometrist 152W00000X 567 South Dakota

Profile Details

NPI number 1770524688
LBN Legal business name Wolthuis, Terry J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Apr 14th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770524688 NPPES
South Dakota MEDICAID 9203223

Popular Providers