Hansen, Matthew
Hansen, Matthew is an individual health care provider with primary practice located at 1106 W Jackson St , Ozark MO 65721-9164. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hansen, Matthew can be contacted via phone (417) 581-3548.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2016020876 | Missouri |
Profile Details
| NPI number | 1891145827 |
|---|---|
| LBN Legal business name | Hansen, Matthew |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2016 |
| Last updated | Jun 21st, 2016 - about 8 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 | 1891145827 | NPPES |
| Missouri | MEDICAID | PENDING |
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