Hanson, Jeffrey W

Hanson, Jeffrey W is an individual health care provider with primary practice located at 401 9Th Ave Nw , Watertown SD 57201-1548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Hanson, Jeffrey W can be contacted via phone (605) 882-7000.

Contact Information

Primary practice address
401 9Th Ave Nw Watertown SD 57201-1548
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 1734 South Dakota

Profile Details

NPI number 1861406449
LBN Legal business name Hanson, Jeffrey W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Mar 17th, 2018 - about 7 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 1861406449 NPPES
South Dakota MEDICAID 5701140
South Dakota MEDICAID 847020100
South Dakota Other 4995039

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