Hansen, Gary Paul
Hansen, Gary Paul is an individual health care provider with primary practice located at 1609 Physicians Dr , Tallahassee FL 32308-4620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Hansen, Gary Paul can be contacted via phone (850) 878-1171.Contact Information
Primary practice address
1609 Physicians Dr
Tallahassee FL 32308-4620
Phone: (850) 878-1171
Fax: (850) 942-1291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ME32434 | Florida |
Profile Details
| NPI number | 1073515631 |
|---|---|
| LBN Legal business name | Hansen, Gary Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | May 21st, 2013 - about 12 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 | 1073515631 | NPPES |
| Florida | MEDICAID | 036688900 |
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