Hansen, Chris John
Hansen, Chris John is an individual health care provider with primary practice located at 1415 North 8Th Street , Manitowoc WI 54220-2051. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hansen, Chris John can be contacted via phone (920) 684-0123.Contact Information
Primary practice address
1415 North 8Th Street
Manitowoc WI 54220-2051
Phone: (920) 684-0123
Fax: (920) 682-7374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | WI3184 | Wisconsin |
Profile Details
| NPI number | 1386752970 |
|---|---|
| LBN Legal business name | Hansen, Chris John |
| Credentials | DDS, FAGD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386752970 | NPPES |
| Wisconsin | MEDICAID | 33456500 |
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