Hanson, Gregory A

Hanson, Gregory A is an individual health care provider with primary practice located at 6950 146Th St W Ste 100 , Apple Valley MN 55124-6544. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hanson, Gregory A can be contacted via phone (952) 432-1484.

Contact Information

Primary practice address
6950 146Th St W Ste 100 Apple Valley MN 55124-6544
Phone: (952) 432-1484
Fax: (952) 432-2328
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP3050 Minnesota

Profile Details

NPI number 1144393737
LBN Legal business name Hanson, Gregory A
Credentials PHD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jan 28th, 2021 - about 5 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 1144393737 NPPES
Minnesota Other 37P59HA BCBS
Minnesota Other 94379 BCBS
Minnesota MEDICAID 659555300 BCBS
Minnesota Other 6130488 BCBS
Minnesota Other 108462C154 BCBS
Minnesota Other 411425197 BCBS

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