Hansen, Mark C
Hansen, Mark C is an sole proprietor health care provider with primary practice located at 1707 W Charleston Blvd Ste 230 , Las Vegas NV 89102-2353. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Hansen, Mark C can be contacted via phone (702) 671-5070.Contact Information
Primary practice address
1707 W Charleston Blvd Ste 230
Las Vegas NV 89102-2353
Phone: (702) 671-5070
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD191050 | Oregon |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD191050 | Oregon |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 20436 | Nevada |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 20436 | Nevada |
Profile Details
| NPI number | 1851566947 |
|---|---|
| LBN Legal business name | Hansen, Mark C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 29th, 2008 |
| Last updated | Aug 8th, 2023 - about 2 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 | 1851566947 | NPPES |
| Nevada | MEDICAID | 1851566947 | |
| Nevada | MEDICAID | 1851566947 | |
| Nevada | Other | 20436 |
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