Hanson, Tyler

Hanson, Tyler is an sole proprietor health care provider with primary practice located at 343 Forest Ave , Portland ME 04101-2006. 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, Tyler can be contacted via phone (207) 772-9800.

Contact Information

Primary practice address
343 Forest Ave Portland ME 04101-2006
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC8120 Maine

Profile Details

NPI number 1952019101
LBN Legal business name Hanson, Tyler
Credentials LADC, CCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2022
Last updated Nov 7th, 2022 - about 3 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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