Hansen, Thomas R.
Hansen, Thomas R. is an sole proprietor health care provider with primary practice located at 313 Reed Blvd , Mill Valley CA 94941-2566. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Hansen, Thomas R. can be contacted via phone (415) 336-6341.Contact Information
Primary practice address
313 Reed Blvd
Mill Valley CA 94941-2566
Phone: (415) 336-6341
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G85011 | California |
Profile Details
| NPI number | 1629142187 |
|---|---|
| LBN Legal business name | Hansen, Thomas R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Nov 15th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629142187 | NPPES |
| California | Other | 144587200 | US DEPT OF LABOR |
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