Hansen, Anthony J.

Hansen, Anthony J. is an sole proprietor health care provider with primary practice located at 3410 Woburn St Ste 201 , Bellingham WA 98226-5643. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Hansen, Anthony J. can be contacted via phone (360) 738-1177.

Contact Information

Primary practice address
3410 Woburn St Ste 201 Bellingham WA 98226-5643
Fax: (360) 738-1192
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DN00000392 Washington

Profile Details

NPI number 1982704094
LBN Legal business name Hansen, Anthony J.
Credentials L.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1982704094 NPPES
Washington MEDICAID 5047444

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