Hansen, Robert Carl

Hansen, Robert Carl is an sole proprietor health care provider with primary practice located at 1115 South St , Waterloo IA 50702-2330. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hansen, Robert Carl can be contacted via phone (319) 233-2759.

Contact Information

Primary practice address
1115 South St Waterloo IA 50702-2330
Phone: (319) 233-2759
Fax: (319) 233-4852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6036 Iowa

Profile Details

NPI number 1861578189
LBN Legal business name Hansen, Robert Carl
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2006
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 1861578189 NPPES
Iowa MEDICAID 0098178

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