Hansen, Matthew P

Hansen, Matthew P is an individual health care provider with primary practice located at 32743 23 Mile Rd Ste 210, Chesterfield MI 48047-1985. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Hansen, Matthew P can be contacted via phone (586) 725-3444.

Contact Information

Primary practice address
32743 23 Mile Rd Ste 210 Chesterfield MI 48047-1985
Phone: (586) 725-3444
Fax: (586) 725-0984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901002044 Michigan

Profile Details

NPI number 1174593735
LBN Legal business name Hansen, Matthew P
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jan 11th, 2016 - about 9 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 1174593735 NPPES
Michigan Other 148898 GREAT LAKES HEALTH PLAN
Michigan Other 139713 GREAT LAKES HEALTH PLAN
Michigan Other 000000012442 GREAT LAKES HEALTH PLAN
Michigan MEDICAID 4941655 GREAT LAKES HEALTH PLAN
Michigan Other 16993 GREAT LAKES HEALTH PLAN
Michigan Other 7057667 GREAT LAKES HEALTH PLAN

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