Hanson, Timothy Marcus

Hanson, Timothy Marcus is an sole proprietor health care provider with primary practice located at 1414 Jefferson St , Baraboo WI 53913-1503. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Hanson, Timothy Marcus can be contacted via phone (608) 356-3420.

Contact Information

Primary practice address
1414 Jefferson St Baraboo WI 53913-1503
Phone: (608) 356-3420
Fax: (608) 355-3333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1966-19 Wisconsin

Profile Details

NPI number 1619211299
LBN Legal business name Hanson, Timothy Marcus
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2012
Last updated Nov 20th, 2012 - about 13 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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