Hansen, Jennifer

Hansen, Jennifer is an sole proprietor health care provider with primary practice located at 27351 Dequindre Rd , Madison Heights MI 48071-3487. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Hansen, Jennifer can be contacted via phone (248) 967-7795.

Contact Information

Primary practice address
27351 Dequindre Rd Madison Heights MI 48071-3487
Phone: (248) 967-7795
Fax: (248) 967-7794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101017511 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X N8516 Texas

Profile Details

NPI number 1740473727
LBN Legal business name Hansen, Jennifer
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2007
Last updated Oct 24th, 2011 - 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 1740473727 NPPES
Texas MEDICAID 280850301
Texas MEDICAID 280850302
Texas Other P00944848

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