Hanson, Wesley Robert

Hanson, Wesley Robert is an individual health care provider with primary practice located at 152 Highway 143 , Roan Mountain TN 37687-3002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hanson, Wesley Robert can be contacted via phone (423) 772-3276.

Contact Information

Primary practice address
152 Highway 143 Roan Mountain TN 37687-3002
Phone: (423) 772-3276
Fax: (423) 772-4816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14319 Tennessee

Profile Details

NPI number 1104821743
LBN Legal business name Hanson, Wesley Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jan 29th, 2010 - about 16 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 1104821743 NPPES
Tennessee Other 2007143 BCBST
Tennessee MEDICAID 3198461 BCBST

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