Hansen, Michael A.
Hansen, Michael A. is an individual health care provider with primary practice located at 1540 Lake Elmo Dr Suite 1, Billings MT 59105-1797. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hansen, Michael A. can be contacted via phone (406) 245-2299.Contact Information
Primary practice address
1540 Lake Elmo Dr Suite 1
Billings MT 59105-1797
Phone: (406) 245-2299
Fax: (406) 245-8302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 419 | Montana |
Profile Details
| NPI number | 1275686842 |
|---|---|
| LBN Legal business name | Hansen, Michael A. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jan 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275686842 | NPPES |
| Montana | Other | 4892790001 | MEDICARE DME |
| Montana | Other | P00040225 | MEDICARE DME |
| Montana | Other | 26350 | MEDICARE DME |
| Montana | Other | MT0419 | MEDICARE DME |
| Montana | MEDICAID | 0482851 | MEDICARE DME |
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