Hansberry, Mark T
Hansberry, Mark T is an individual health care provider with primary practice located at One Medical Center Drive Dartmouth Hitchcock - Radiology, Lebanon NH 03756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hansberry, Mark T can be contacted via phone (603) 650-7650.Contact Information
Primary practice address
One Medical Center Drive Dartmouth Hitchcock - Radiology
Lebanon NH 03756
Phone: (603) 650-7650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 042.0010258 | Vermont |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 11277 | New Hampshire |
Profile Details
| NPI number | 1417993262 |
|---|---|
| LBN Legal business name | Hansberry, Mark T |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Dec 26th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417993262 | NPPES |
| Vermont | MEDICAID | 1008034 |
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