Hanson, Carol Beverly

Hanson, Carol Beverly is an individual health care provider with primary practice located at 4929 W Fond Du Lac Ave , Milwaukee WI 53216-2324. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Hanson, Carol Beverly can be contacted via phone (414) 871-6122.

Contact Information

Primary practice address
4929 W Fond Du Lac Ave Milwaukee WI 53216-2324
Phone: (414) 871-6122
Fax: (414) 871-2552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 120740-30 Wisconsin

Profile Details

NPI number 1134264815
LBN Legal business name Hanson, Carol Beverly
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 8th, 2007 - about 17 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 1134264815 NPPES
Wisconsin Other 120740-30 REGISTERED NURSE

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