Hansen, Gary Wayne
Hansen, Gary Wayne is an individual health care provider with primary practice located at 6301 N Oak Trfy Suite 101, Kansas City MO 64118-4705. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Hansen, Gary Wayne can be contacted via phone (816) 452-0300.Contact Information
Primary practice address
6301 N Oak Trfy Suite 101
Kansas City MO 64118-4705
Phone: (816) 452-0300
Fax: (816) 452-3385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 014326 | Missouri |
Profile Details
| NPI number | 1932192580 |
|---|---|
| LBN Legal business name | Hansen, Gary Wayne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1932192580 | NPPES |
| Missouri | Other | 11515081 | BC/BS |
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