Hansen, Brent Paul
Hansen, Brent Paul is an individual health care provider with primary practice located at 6320 W Union Hills Dr Ste 1800 , Glendale AZ 85308-1372. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Hansen, Brent Paul can be contacted via phone (480) 420-0749.Contact Information
Primary practice address
6320 W Union Hills Dr Ste 1800
Glendale AZ 85308-1372
Phone: (480) 420-0749
Fax: (480) 420-0732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 4183 | Arizona |
Profile Details
| NPI number | 1396716262 |
|---|---|
| LBN Legal business name | Hansen, Brent Paul |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Sep 4th, 2019 - about 5 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 | 1396716262 | NPPES |
| Arizona | MEDICAID | 937732 |
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