Hansen, David A.

Hansen, David A. is an individual health care provider with primary practice located at 5580 Nordic Pl , Ferndale WA 98248-9138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hansen, David A. can be contacted via phone (360) 384-1511.

Contact Information

Primary practice address
5580 Nordic Pl Ferndale WA 98248-9138
Fax: (360) 384-5758
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ML20007743 Washington

Profile Details

NPI number 1316990740
LBN Legal business name Hansen, David A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Aug 31st, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316990740 NPPES
Washington MEDICAID 8456972
Washington Other P00476409
Washington Other 8941952
Washington Other 3976HA
Washington Other 423898050

Popular Providers