Hansen, Eric Rodney

Hansen, Eric Rodney is an individual health care provider with primary practice located at 14575 Main St , Hesperia CA 92345-3322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hansen, Eric Rodney can be contacted via phone (760) 947-0727.

Contact Information

Primary practice address
14575 Main St Hesperia CA 92345-3322
Phone: (760) 947-0727
Fax: (760) 947-6219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A8138 California

Profile Details

NPI number 1770562506
LBN Legal business name Hansen, Eric Rodney
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Feb 24th, 2010 - about 16 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 1770562506 NPPES
California MEDICAID 00AX81380
California Other P00153466

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