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Contact Information

DOUGLASS E HANSON, OPTOMETRIST
24 E MAIN ST
REXBURG, ID83440-1927
 Phone: 208-356-0881
 Fax: 208-359-9680
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for DOUGLASS E HANSON · (Male)

NPI # 1225178593
Status Active
Credentials OPTOMETRIST
Entity Individual
Enumeration date 02/07/2007
Last updated 04/25/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # ODP 0703
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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