Hansen, Joseph Edward
Hansen, Joseph Edward is an individual health care provider with primary practice located at 1001 Rio Vista Dr , Fallon NV 89406-5463. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hansen, Joseph Edward can be contacted via phone (775) 423-3634.Contact Information
Primary practice address
1001 Rio Vista Dr
Fallon NV 89406-5463
Phone: (775) 423-3634
Fax: (775) 423-5694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5934174-9921 | Utah |
Profile Details
| NPI number | 1649260647 |
|---|---|
| LBN Legal business name | Hansen, Joseph Edward |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Feb 14th, 2014 - about 12 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 | 1649260647 | NPPES |
| Nevada | MEDICAID | 1649260647 |
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