Hanson, Peter A

Hanson, Peter A is an individual health care provider with primary practice located at 930 Tahoe Blvd Suite 207, Incline Village NV 89451-9451. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Hanson, Peter A can be contacted via phone (775) 833-2929.

Contact Information

Primary practice address
930 Tahoe Blvd Suite 207 Incline Village NV 89451-9451
Phone: (775) 833-2929
Fax: (775) 833-0277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13177 Nevada
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 13177 Nevada

Profile Details

NPI number 1942256169
LBN Legal business name Hanson, Peter A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Feb 24th, 2017 - about 8 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 1942256169 NPPES
Minnesota MEDICAID 566717800

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