Hansen, Carl Arthur
Hansen, Carl Arthur is an individual health care provider with primary practice located at 215 North Court St , Fayetteville WV 25840. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hansen, Carl Arthur can be contacted via phone (304) 574-1363.Contact Information
Primary practice address
215 North Court St
Fayetteville WV 25840
Phone: (304) 574-1363
Fax: (304) 574-1363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2364 | West Virginia |
Profile Details
| NPI number | 1922171024 |
|---|---|
| LBN Legal business name | Hansen, Carl Arthur |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 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 | 1922171024 | NPPES |
| West Virginia | MEDICAID | 0135245000 |
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