Hansen, James R

Hansen, James R is an sole proprietor health care provider with primary practice located at 6615 W Argent Rd , Pasco WA 99301-1905. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hansen, James R can be contacted via phone (509) 547-9951.

Contact Information

Primary practice address
6615 W Argent Rd Pasco WA 99301-1905
Fax: (509) 547-3008
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10263 Washington

Profile Details

NPI number 1184856999
LBN Legal business name Hansen, James R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2009
Last updated Sep 14th, 2011 - about 13 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 1184856999 NPPES
Washington MEDICAID 5052253

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