Hansen, Eric A

Hansen, Eric A is an individual health care provider with primary practice located at 1330 Coshocton Ave , Mount Vernon OH 43050. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hansen, Eric A can be contacted via phone (740) 393-9000.

Contact Information

Primary practice address
1330 Coshocton Ave Mount Vernon OH 43050
Phone: (740) 393-9000
Fax: (740) 392-0167
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35073065 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35073065 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.073065 Ohio

Profile Details

NPI number 1205942406
LBN Legal business name Hansen, Eric A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Mar 5th, 2021 - about 3 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 1205942406 NPPES
Ohio MEDICAID 2043443
Ohio Other 000000187190
Ohio Other P00149373
Ohio Other P01243229

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