Hanson, Richard Thomas
Hanson, Richard Thomas is an sole proprietor health care provider with primary practice located at 620 E Market St , Aberdeen WA 98520-3436. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hanson, Richard Thomas can be contacted via phone (360) 532-0823.Contact Information
Primary practice address
620 E Market St
Aberdeen WA 98520-3436
Phone: (360) 532-0823
Fax: (360) 532-0910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE00005430 | Washington |
Profile Details
| NPI number | 1740296979 |
|---|---|
| LBN Legal business name | Hanson, Richard Thomas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1740296979 | NPPES |
| Washington | MEDICAID | 5771902 |
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