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:

Map and Directions

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.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1225000367	NPPES
North Carolina	MEDICAID	8939081

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