Gundersen, Hans Tormod

Gundersen, Hans Tormod is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3134. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Gundersen, Hans Tormod can be contacted via phone (207) 662-4618.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3134
Phone: (207) 662-4618
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Maine

Profile Details

NPI number 1134228091
LBN Legal business name Gundersen, Hans Tormod
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jan 10th, 2011 - about 14 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 1134228091 NPPES
New Hampshire MEDICAID 30338352

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