Hansen, Christopher Michael

Hansen, Christopher Michael is an individual health care provider with primary practice located at 1005 Mar Walt Dr Family Practice Department, Fort Walton Beach FL 32547-6707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hansen, Christopher Michael can be contacted via phone (850) 863-6600.

Contact Information

Primary practice address
1005 Mar Walt Dr Family Practice Department Fort Walton Beach FL 32547-6707
Phone: (850) 863-6600
Fax: (850) 862-0977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME82426 Florida

Profile Details

NPI number 1306821293
LBN Legal business name Hansen, Christopher Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jan 16th, 2017 - about 7 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 1306821293 NPPES
Florida MEDICAID 262285800
Florida Other 58957

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