Hansen, David Wayne
Hansen, David Wayne is an sole proprietor health care provider with primary practice located at 40 Oceana Dr W Apt 4C , Brooklyn NY 11235-6667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Hansen, David Wayne can be contacted via phone (201) 953-3840.Contact Information
Primary practice address
40 Oceana Dr W Apt 4C
Brooklyn NY 11235-6667
Phone: (201) 953-3840
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25MA07799100 | New Jersey |
Profile Details
| NPI number | 1851367056 |
|---|---|
| LBN Legal business name | Hansen, David Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Feb 17th, 2024 - about last year |
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 | 1851367056 | NPPES |
| New Jersey | MEDICAID | 0107549 | |
| New Jersey | MEDICAID | 02686602 | |
| New Jersey | Other | P00717397 |
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