Hansen, Thomas R

Hansen, Thomas R is an individual health care provider with primary practice located at 5880 S Hospital Dr , Globe AZ 85501-9447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hansen, Thomas R can be contacted via phone (928) 425-3246.

Contact Information

Primary practice address
5880 S Hospital Dr Globe AZ 85501-9447
Fax: (928) 425-3859
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 1803601205 Utah
Allopathic & Osteopathic Physicians / Surgery 208600000X 18493 Arizona

Profile Details

NPI number 1861433443
LBN Legal business name Hansen, Thomas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Feb 19th, 2015 - about 10 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 1861433443 NPPES
Arizona Other Z172537 MCPTAN

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