Hansen, John C
Hansen, John C is an individual health care provider with primary practice located at 3030 Childrens Way #112, San Diego CA 92123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hansen, John C can be contacted via phone (858) 495-0500.Contact Information
Primary practice address
3030 Childrens Way #112
San Diego CA 92123
Phone: (858) 495-0500
Fax: (858) 560-4279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G68382 | California |
Profile Details
| NPI number | 1780655621 |
|---|---|
| LBN Legal business name | Hansen, John C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Feb 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780655621 | NPPES |
| California | Other | G68382 | MD LICENSE |
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