Hansen, Todd Stewart

Hansen, Todd Stewart is an individual health care provider with primary practice located at 3050 Riverwood Pkwy Suite B, Gastonia NC 28056-6001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hansen, Todd Stewart can be contacted via phone (704) 865-1749.

Contact Information

Primary practice address
3050 Riverwood Pkwy Suite B Gastonia NC 28056-6001
Phone: (704) 865-1749
Fax: (704) 865-7328
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9701385 North Carolina

Profile Details

NPI number 1992792642
LBN Legal business name Hansen, Todd Stewart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2005
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992792642 NPPES
South Carolina MEDICAID N01385
South Carolina MEDICAID 891215H

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