Hansen, Michael A.

Hansen, Michael A. is an individual health care provider with primary practice located at 1540 Lake Elmo Dr Suite 1, Billings MT 59105-1797. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hansen, Michael A. can be contacted via phone (406) 245-2299.

Contact Information

Primary practice address
1540 Lake Elmo Dr Suite 1 Billings MT 59105-1797
Fax: (406) 245-8302
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 419 Montana

Profile Details

NPI number 1275686842
LBN Legal business name Hansen, Michael A.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jan 11th, 2011 - about 14 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 1275686842 NPPES
Montana Other 4892790001 MEDICARE DME
Montana Other P00040225 MEDICARE DME
Montana Other 26350 MEDICARE DME
Montana Other MT0419 MEDICARE DME
Montana MEDICAID 0482851 MEDICARE DME

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