Hansen, Adam J

Hansen, Adam J is an individual health care provider with primary practice located at 527 Medical Park Dr Ste 205 , Bridgeport WV 26330-9009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Hansen, Adam J can be contacted via phone (681) 342-3730.

Contact Information

Primary practice address
527 Medical Park Dr Ste 205 Bridgeport WV 26330-9009
Phone: (681) 342-3730
Fax: (304) 842-9422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 28899 Arizona
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 25201 West Virginia

Profile Details

NPI number 1134193840
LBN Legal business name Hansen, Adam J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Apr 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134193840 NPPES
West Virginia Other WV2677A MEDICARE PTAN
West Virginia MEDICAID 812976 MEDICARE PTAN

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