Hansen, Matthew D

Hansen, Matthew D is an individual health care provider with primary practice located at 100 E Idaho St , Boise ID 83712-6267. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Hansen, Matthew D can be contacted via phone (208) 381-2222.

Contact Information

Primary practice address
100 E Idaho St Boise ID 83712-6267
Phone: (208) 381-2222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X OH35082069 Ohio
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X M10226 Idaho

Profile Details

NPI number 1780607481
LBN Legal business name Hansen, Matthew D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Mar 21st, 2011 - about 15 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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