Hansen, John Robert

Hansen, John Robert is an sole proprietor health care provider with primary practice located at 760 Ponderosa Dr , Jackson Hole WY 83001-9379. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Hansen, John Robert can be contacted via phone (307) 413-4760.

Contact Information

Primary practice address
760 Ponderosa Dr Jackson Hole WY 83001-9379
Phone: (307) 413-4760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1588981393
LBN Legal business name Hansen, John Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2010
Last updated May 3rd, 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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