Hansen, Steven Fredrick

Hansen, Steven Fredrick is an sole proprietor health care provider with primary practice located at 135 South Gibson , Medford WI 54451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Hansen, Steven Fredrick can be contacted via phone (715) 748-8100.

Contact Information

Primary practice address
135 South Gibson Medford WI 54451
Fax: (715) 748-7590
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 30403 Wisconsin

Profile Details

NPI number 1689651762
LBN Legal business name Hansen, Steven Fredrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2005
Last updated May 14th, 2012 - about 12 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

StateTypeNumberIssuer
All States NPI 1689651762 NPPES
Wisconsin MEDICAID 31528900
Wisconsin Other 80107

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