Hansen, David Wayne

Hansen, David Wayne is an sole proprietor health care provider with primary practice located at 40 Oceana Dr W Apt 4C , Brooklyn NY 11235-6667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Hansen, David Wayne can be contacted via phone (201) 953-3840.

Contact Information

Primary practice address
40 Oceana Dr W Apt 4C Brooklyn NY 11235-6667
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA07799100 New Jersey

Profile Details

NPI number 1851367056
LBN Legal business name Hansen, David Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2006
Last updated Feb 17th, 2024 - about 7 months 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 1851367056 NPPES
New Jersey MEDICAID 0107549
New Jersey MEDICAID 02686602
New Jersey Other P00717397

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