Hansen, Charlene
Hansen, Charlene is an individual health care provider with primary practice located at 1500 21St St , Sacramento CA 95811-5216. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Hansen, Charlene can be contacted via phone (916) 443-3299.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 31508 | Iowa |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 168946 | California |
Profile Details
| NPI number | 1366556748 |
|---|---|
| LBN Legal business name | Hansen, Charlene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Mar 25th, 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 | 1366556748 | NPPES |
| Arizona | MEDICAID | 417198 | |
| Arizona | MEDICAID | 000R7592 |
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