Hansen, Elijah

Hansen, Elijah is an individual health care provider with primary practice located at 2800 W Gore Blvd , Lawton OK 73505-6320. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Hansen, Elijah can be contacted via phone (580) 581-2402.

Contact Information

Primary practice address
2800 W Gore Blvd Lawton OK 73505-6320
Phone: (580) 581-2402
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1205445343
LBN Legal business name Hansen, Elijah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2020
Last updated Jul 24th, 2020 - about 5 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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