Hansen, Michelle Marie

Hansen, Michelle Marie is an individual health care provider with primary practice located at 104 W 5Th Ave Suite 250E, Spokane WA 99204-4880. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Hansen, Michelle Marie can be contacted via phone (509) 838-8561.

Contact Information

Primary practice address
104 W 5Th Ave Suite 250E Spokane WA 99204-4880
Fax: (509) 835-4058
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD00035386 Washington

Profile Details

NPI number 1235108556
LBN Legal business name Hansen, Michelle Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Oct 19th, 2007 - about 17 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 1235108556 NPPES
Washington MEDICAID 8406381

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