Hanson, Bernie Hp

Hanson, Bernie Hp is an sole proprietor health care provider with primary practice located at 1425 Mickelson Dr. , Watertown SD 57201-6827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Hanson, Bernie Hp can be contacted via phone (605) 599-7411.

Contact Information

Primary practice address
1425 Mickelson Dr. Watertown SD 57201-6827
Phone: (605) 599-7411
Fax: (605) 578-6021
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0963 South Dakota

Profile Details

NPI number 1093713851
LBN Legal business name Hanson, Bernie Hp
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2005
Last updated Sep 12th, 2016 - about 9 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 1093713851 NPPES
Other 20521 SIOUX VALLEY HEALTH
MEDICAID 6300052 SIOUX VALLEY HEALTH

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