Hansen, Rachelle M

Hansen, Rachelle M is an individual health care provider with primary practice located at 1 Freedom Way , Augusta GA 30904-6258. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Hansen, Rachelle M can be contacted via phone (706) 733-0188.

Contact Information

Primary practice address
1 Freedom Way Augusta GA 30904-6258
Phone: (706) 733-0188
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X 5154

Profile Details

NPI number 1336485606
LBN Legal business name Hansen, Rachelle M
Credentials COMS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2012
Last updated Dec 14th, 2012 - about 13 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 1336485606 NPPES
Other 5154 ACVREP

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