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
Phone: (360) 384-1511
Fax: (360) 384-5758
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316990740 | NPPES |
| Washington | MEDICAID | 8456972 | |
| Washington | Other | P00476409 | |
| Washington | Other | 8941952 | |
| Washington | Other | 3976HA | |
| Washington | Other | 423898050 |
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