Hansen, Michael R

Hansen, Michael R is an sole proprietor health care provider with primary practice located at 1956 41St Ave Ste C , Vero Beach FL 32960-2561. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Hansen, Michael R can be contacted via phone (772) 567-3338.

Contact Information

Primary practice address
1956 41St Ave Ste C Vero Beach FL 32960-2561
Phone: (772) 567-3338
Fax: (772) 567-6397
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO0002819 Florida

Profile Details

NPI number 1386785426
LBN Legal business name Hansen, Michael R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2007
Last updated Jul 8th, 2007 - about 18 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 1386785426 NPPES
Florida Other 65660 BCBS FL PROVIDER NUMBER

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