Hanson, Thomas L

Hanson, Thomas L is an sole proprietor health care provider with primary practice located at 2023 S 17Th St , Wilmington NC 28401-6600. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Hanson, Thomas L can be contacted via phone (910) 251-6440.

Contact Information

Primary practice address
2023 S 17Th St Wilmington NC 28401-6600
Phone: (910) 251-6440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 734 North Carolina

Profile Details

NPI number 1245364918
LBN Legal business name Hanson, Thomas L
Credentials LCAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245364918 NPPES
North Carolina MEDICAID 6111799

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