Hansen, Christopher W

Hansen, Christopher W is an individual health care provider with primary practice located at 1760 Shawano Ave , Green Bay WI 54303-3216. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hansen, Christopher W can be contacted via phone (920) 499-5191.

Contact Information

Primary practice address
1760 Shawano Ave Green Bay WI 54303-3216
Phone: (920) 499-5191
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9916-024 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501016358 Michigan

Profile Details

NPI number 1831355494
LBN Legal business name Hansen, Christopher W
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2008
Last updated Apr 30th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831355494 NPPES
Wisconsin Other 9916-024 STATE LICENSE NUMBER
Wisconsin Other 5501016358 STATE LICENSE NUMBER
Wisconsin MEDICAID 40374500 STATE LICENSE NUMBER

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