Hanson, Colleen Faye
Hanson, Colleen Faye is an individual health care provider with primary practice located at 120 N C Ave , Thermopolis WY 82443-2410. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Hanson, Colleen Faye can be contacted via phone (307) 864-5534.Contact Information
Primary practice address
120 N C Ave
Thermopolis WY 82443-2410
Phone: (307) 864-5534
Fax: (307) 864-9470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 170 | Wyoming |
Profile Details
| NPI number | 1437121894 |
|---|---|
| LBN Legal business name | Hanson, Colleen Faye |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1437121894 | NPPES |
| Wyoming | Other | 1112CH98M | WY CONTROLLED SUBSTANCE # |
| Wyoming | Other | 170 | WY CONTROLLED SUBSTANCE # |
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