Hansen, David William

Hansen, David William is an individual health care provider with primary practice located at 3229 E. Genesee St Suite 1, Syracuse NY 13214. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is his primary health care specialty. Hansen, David William can be contacted via phone (315) 464-5726.

Contact Information

Primary practice address
3229 E. Genesee St Suite 1 Syracuse NY 13214
Phone: (315) 464-5726
Fax: (315) 464-2510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 60409 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 01075810A Indiana
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 292193 New York

Profile Details

NPI number 1003105768
LBN Legal business name Hansen, David William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2011
Last updated Jun 23rd, 2023 - about last year

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 1003105768 NPPES
Wisconsin MEDICAID 1003105768
Wisconsin MEDICAID 05233927
Wisconsin MEDICAID 1003105768

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