Hansen, Matthew Leron

Hansen, Matthew Leron is an individual health care provider with primary practice located at 2940 E Banner Gateway Dr Suite 200, Gilbert AZ 85234-2168. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Hansen, Matthew Leron can be contacted via phone (480) 964-2908.

Contact Information

Primary practice address
2940 E Banner Gateway Dr Suite 200 Gilbert AZ 85234-2168
Phone: (480) 964-2908
Fax: (480) 833-2136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 35613 Arizona
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35613 Arizona

Profile Details

NPI number 1710911516
LBN Legal business name Hansen, Matthew Leron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 3rd, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710911516 NPPES
Arizona Other 5550830003 MEDICARE NSC PEORIA
Arizona Other 5550830006 MEDICARE NSC PEORIA
Arizona Other 5550830007 MEDICARE NSC PEORIA
Arizona Other 5550830010 MEDICARE NSC PEORIA
Arizona Other 5550830004 MEDICARE NSC PEORIA
Arizona Other P00346251 MEDICARE NSC PEORIA
Arizona MEDICAID 112448 MEDICARE NSC PEORIA
Arizona Other 5550830001 MEDICARE NSC PEORIA
Arizona Other 5550830008 MEDICARE NSC PEORIA
Arizona Other 5550830009 MEDICARE NSC PEORIA

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