Hansen, John Gregory

Hansen, John Gregory is an individual health care provider with primary practice located at 13907 W Camino Del Sol Suite 101, Sun City West AZ 85375-4405. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hansen, John Gregory can be contacted via phone (623) 584-4695.

Contact Information

Primary practice address
13907 W Camino Del Sol Suite 101 Sun City West AZ 85375-4405
Phone: (623) 584-4695
Fax: (623) 298-6708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 24172 Arizona

Profile Details

NPI number 1679592372
LBN Legal business name Hansen, John Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 8th, 2007 - about 18 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 1679592372 NPPES
Arizona Other 340018047 RAILROAD MEDICARE
Arizona Other 1Z5256 RAILROAD MEDICARE
Arizona MEDICAID 434712 RAILROAD MEDICARE
Arizona Other AZ0867880 RAILROAD MEDICARE

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