Hanson, Theo C

Hanson, Theo C is an individual health care provider with primary practice located at 600 Central Ave Ste 408 , Great Falls MT 59401-3141. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hanson, Theo C can be contacted via phone (406) 205-3433.

Contact Information

Primary practice address
600 Central Ave Ste 408 Great Falls MT 59401-3141
Phone: (406) 205-3433
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1770248148
LBN Legal business name Hanson, Theo C
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2021
Last updated Nov 4th, 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 1770248148 NPPES
Montana MEDICAID 7313085

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