Hansen, Christine M
Hansen, Christine M is an individual health care provider with primary practice located at 3001 Aqua Marine Blvd , Avon Lake OH 44012-2651. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hansen, Christine M can be contacted via phone (216) 287-5759.Contact Information
Primary practice address
3001 Aqua Marine Blvd
Avon Lake OH 44012-2651
Phone: (216) 287-5759
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | S.0025125 | Ohio |
Profile Details
| NPI number | 1205133865 |
|---|---|
| LBN Legal business name | Hansen, Christine M |
| Credentials | LISW-S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2011 |
| Last updated | Jul 26th, 2022 - about 2 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 | 1205133865 | NPPES |
| Ohio | MEDICAID | 0268768 |
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