Hanson, Chad

Hanson, Chad is an individual health care provider with primary practice located at 1809 E 13Th St , Tulsa OK 74104-4419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Hanson, Chad can be contacted via phone (918) 582-6800.

Contact Information

Primary practice address
1809 E 13Th St Tulsa OK 74104-4419
Phone: (918) 582-6800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 5224 Oklahoma

Profile Details

NPI number 1649561713
LBN Legal business name Hanson, Chad
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2011
Last updated Feb 20th, 2023 - about last year

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 1649561713 NPPES
Oklahoma MEDICAID 200700820B
Oklahoma Other 2G4537

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