Hansen, Marland Abe
Hansen, Marland Abe is an sole proprietor health care provider with primary practice located at 812 E D St , Lemoore CA 93245-9545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hansen, Marland Abe can be contacted via phone (559) 925-1000.Contact Information
Primary practice address
812 E D St
Lemoore CA 93245-9545
Phone: (559) 925-1000
Fax: (559) 925-1084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G13797 | California |
Profile Details
| NPI number | 1568469138 |
|---|---|
| LBN Legal business name | Hansen, Marland Abe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Dec 8th, 2016 - about 10 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 | 1568469138 | NPPES |
| California | MEDICAID | OOG137971 |
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