Hansen, Richard Morris

Hansen, Richard Morris is an individual health care provider with primary practice located at 791 Summit Ave Prohealth Care Regional Cancer Center, Oconomowoc WI 53066-3844. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Hansen, Richard Morris can be contacted via phone (262) 569-0554.

Contact Information

Primary practice address
791 Summit Ave Prohealth Care Regional Cancer Center Oconomowoc WI 53066-3844
Phone: (262) 569-0554
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 19046 Wisconsin

Profile Details

NPI number 1164496162
LBN Legal business name Hansen, Richard Morris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Mar 27th, 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 1164496162 NPPES
Wisconsin MEDICAID 30144000

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