Hansen, Robert G
Hansen, Robert G is an individual health care provider with primary practice located at 206 E Elm St , Caldwell ID 83605-4815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Hansen, Robert G can be contacted via phone (208) 459-4511.Contact Information
Primary practice address
206 E Elm St
Caldwell ID 83605-4815
Phone: (208) 459-4511
Fax: (208) 459-6602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | M9169 | Idaho |
Profile Details
| NPI number | 1285623702 |
|---|---|
| LBN Legal business name | Hansen, Robert G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Mar 23rd, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285623702 | NPPES |
| Idaho | MEDICAID | 806979400 |
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