Hansen, Eric Rodney
Hansen, Eric Rodney is an individual health care provider with primary practice located at 14575 Main St , Hesperia CA 92345-3322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hansen, Eric Rodney can be contacted via phone (760) 947-0727.Contact Information
Primary practice address
14575 Main St
Hesperia CA 92345-3322
Phone: (760) 947-0727
Fax: (760) 947-6219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A8138 | California |
Profile Details
| NPI number | 1770562506 |
|---|---|
| LBN Legal business name | Hansen, Eric Rodney |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Feb 24th, 2010 - about 15 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 | 1770562506 | NPPES |
| California | MEDICAID | 00AX81380 | |
| California | Other | P00153466 |
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