Hansen, Shannon Gabrielle
Hansen, Shannon Gabrielle is an individual health care provider with primary practice located at 315 Martin Luther King Jr Way , Tacoma WA 98405-4234. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is her primary health care specialty. Hansen, Shannon Gabrielle can be contacted via phone (253) 403-1000.Contact Information
Primary practice address
315 Martin Luther King Jr Way
Tacoma WA 98405-4234
Phone: (253) 403-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 51866 | Minnesota |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | MD60293423 | Washington |
Profile Details
| NPI number | 1417124538 |
|---|---|
| LBN Legal business name | Hansen, Shannon Gabrielle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2008 |
| Last updated | Aug 3rd, 2023 - about last year |
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 | 1417124538 | NPPES |
| Other | P00767187 | MEDICARE RAILROAD | |
| Other | 01-37427 | MEDICARE RAILROAD | |
| MEDICAID | 1417124538 | MEDICARE RAILROAD | |
| Other | 1417124538 | MEDICARE RAILROAD | |
| Other | 1417124538 | MEDICARE RAILROAD |
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