Hansen, Mark
Hansen, Mark is an sole proprietor health care provider with primary practice located at 555 Prospect Ave , Estes Park CO 80517-6312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hansen, Mark can be contacted via phone (970) 586-2200.Contact Information
Primary practice address
555 Prospect Ave
Estes Park CO 80517-6312
Phone: (970) 586-2200
Fax: (970) 577-4338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 34683 | Colorado |
Profile Details
| NPI number | 1215923842 |
|---|---|
| LBN Legal business name | Hansen, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Apr 21st, 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 | 1215923842 | NPPES |
| Colorado | MEDICAID | 01346832 |
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