Hansen, Blaine R
Hansen, Blaine R is an sole proprietor health care provider with primary practice located at 3600 N Buffalo Dr , Las Vegas NV 89129-7444. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Hansen, Blaine R can be contacted via phone (702) 568-1600.Contact Information
Primary practice address
3600 N Buffalo Dr
Las Vegas NV 89129-7444
Phone: (702) 568-1600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 6573 | Arizona |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 51234029921 | Utah |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | S3-152C | Nevada |
Profile Details
| NPI number | 1326102211 |
|---|---|
| LBN Legal business name | Hansen, Blaine R |
| Credentials | DMD, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Nov 2nd, 2007 - about 18 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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