Hansen, Mark T

Hansen, Mark T is an sole proprietor health care provider with primary practice located at 1410 Tusculum Blvd Ste 1700 , Greeneville TN 37745-5818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hansen, Mark T can be contacted via phone (423) 787-7100.

Contact Information

Primary practice address
1410 Tusculum Blvd Ste 1700 Greeneville TN 37745-5818
Phone: (423) 787-7100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 358614-1205 Utah
Allopathic & Osteopathic Physicians / Surgery 208600000X 71681 Tennessee

Profile Details

NPI number 1689646507
LBN Legal business name Hansen, Mark T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2006
Last updated Jul 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689646507 NPPES
Utah Other 870591755HA1 EMIA
Utah Other 107008361102 EMIA
Utah Other 344470 EMIA
Utah Other 48410 EMIA

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