Hansen, Thomas

Hansen, Thomas is an individual health care provider with primary practice located at 1730 1St Ave Ne , Cedar Rapids IA 52402-5433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Hansen, Thomas can be contacted via phone (319) 365-3993.

Contact Information

Primary practice address
1730 1St Ave Ne Cedar Rapids IA 52402-5433
Phone: (319) 365-3993
Fax: (319) 364-0116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 19009 Iowa

Profile Details

NPI number 1689653149
LBN Legal business name Hansen, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Feb 1st, 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 1689653149 NPPES
Iowa MEDICAID 0168740

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