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
Fax: (307) 864-9470
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437121894 NPPES
Wyoming Other 1112CH98M WY CONTROLLED SUBSTANCE #
Wyoming Other 170 WY CONTROLLED SUBSTANCE #

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