Hansen, Mark Roy

Hansen, Mark Roy is an individual health care provider with primary practice located at 600 East Blvd , Elkhart IN 46514-2483. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Hansen, Mark Roy can be contacted via phone (574) 523-3334.

Contact Information

Primary practice address
600 East Blvd Elkhart IN 46514-2483
Phone: (574) 523-3334
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 074055 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN768704 Pennsylvania

Profile Details

NPI number 1740228956
LBN Legal business name Hansen, Mark Roy
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Mar 28th, 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.

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