Hansen, Adam J
Hansen, Adam J is an individual health care provider with primary practice located at 527 Medical Park Dr Ste 205 , Bridgeport WV 26330-9009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Hansen, Adam J can be contacted via phone (681) 342-3730.Contact Information
Primary practice address
527 Medical Park Dr Ste 205
Bridgeport WV 26330-9009
Phone: (681) 342-3730
Fax: (304) 842-9422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 28899 | Arizona |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 25201 | West Virginia |
Profile Details
| NPI number | 1134193840 |
|---|---|
| LBN Legal business name | Hansen, Adam J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Apr 5th, 2022 - about 4 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 | 1134193840 | NPPES |
| West Virginia | Other | WV2677A | MEDICARE PTAN |
| West Virginia | MEDICAID | 812976 | MEDICARE PTAN |
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