Hanson, Bernie Hp
Hanson, Bernie Hp is an sole proprietor health care provider with primary practice located at 1425 Mickelson Dr. , Watertown SD 57201-6827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Hanson, Bernie Hp can be contacted via phone (605) 599-7411.Contact Information
Primary practice address
1425 Mickelson Dr.
Watertown SD 57201-6827
Phone: (605) 599-7411
Fax: (605) 578-6021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0963 | South Dakota |
Profile Details
| NPI number | 1093713851 |
|---|---|
| LBN Legal business name | Hanson, Bernie Hp |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Sep 12th, 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 | 1093713851 | NPPES |
| Other | 20521 | SIOUX VALLEY HEALTH | |
| MEDICAID | 6300052 | SIOUX VALLEY HEALTH |
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