Hansen, George R

Hansen, George R is an individual health care provider with primary practice located at 1100 Las Tablas Rd , Templeton CA 93465-9704. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Hansen, George R can be contacted via phone (805) 546-7650.

Contact Information

Primary practice address
1100 Las Tablas Rd Templeton CA 93465-9704
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X G67032 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G67032 California

Profile Details

NPI number 1801844758
LBN Legal business name Hansen, George R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated May 24th, 2010 - about 14 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 1801844758 NPPES
California Other 930118647 MEDICARE RAILROAD
California MEDICAID 00G670320 MEDICARE RAILROAD

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