Hansen, Mark D
Hansen, Mark D is an individual health care provider with primary practice located at 315 Parham St Suite B, Muscatine IA 52761-2604. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hansen, Mark D can be contacted via phone (563) 263-7577.Contact Information
Primary practice address
315 Parham St Suite B
Muscatine IA 52761-2604
Phone: (563) 263-7577
Fax: (563) 263-7814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1742 | Iowa |
Profile Details
| NPI number | 1295790160 |
|---|---|
| LBN Legal business name | Hansen, Mark D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Nov 11th, 2014 - about 11 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 | 1295790160 | NPPES |
| Iowa | Other | 410016371 | RR MEDICARE |
| Iowa | MEDICAID | 0189936 | RR MEDICARE |
| Iowa | Other | 18993 | RR MEDICARE |
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