Hansen, Roger G.
Hansen, Roger G. is an individual health care provider with primary practice located at 600 Highland Oaks Dr , Winston Salem NC 27103-7107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hansen, Roger G. can be contacted via phone (336) 774-0040.Contact Information
Primary practice address
600 Highland Oaks Dr
Winston Salem NC 27103-7107
Phone: (336) 774-0040
Fax: (336) 774-0029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36359 | North Carolina |
Profile Details
| NPI number | 1225000367 |
|---|---|
| LBN Legal business name | Hansen, Roger G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Feb 15th, 2013 - about 11 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 | 1225000367 | NPPES |
| North Carolina | MEDICAID | 8939081 |
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