Hanson, Gregory R
Hanson, Gregory R is an individual health care provider with primary practice located at 500 Osborne Rd Ne Suite 120, Fridley MN 55432-2765. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Hanson, Gregory R can be contacted via phone (763) 783-8582.Contact Information
Primary practice address
500 Osborne Rd Ne Suite 120
Fridley MN 55432-2765
Phone: (763) 783-8582
Fax: (763) 783-8616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 49996 | Minnesota |
Profile Details
| NPI number | 1699881748 |
|---|---|
| LBN Legal business name | Hanson, Gregory R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Sep 10th, 2013 - about 13 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 | 1699881748 | NPPES |
| Minnesota | Other | P00436573 | RR MEDICARE |
| Minnesota | MEDICAID | 601125100 | RR MEDICARE |
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