Hansen, Spencer Mack
Hansen, Spencer Mack is an sole proprietor health care provider with primary practice located at 1405 Judson Rd , Longview TX 75601-3918. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Hansen, Spencer Mack can be contacted via phone (903) 212-7737.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 30007 | Texas |
Profile Details
| NPI number | 1336505635 |
|---|---|
| LBN Legal business name | Hansen, Spencer Mack |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2016 |
| Last updated | Oct 24th, 2022 - about 2 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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