Hanson, Chad Michael
Hanson, Chad Michael is an individual health care provider with primary practice located at 2800 E Desert Inn Rd Suite #100, Las Vegas NV 89121-3608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Hanson, Chad Michael can be contacted via phone (702) 731-1616.Contact Information
Primary practice address
2800 E Desert Inn Rd Suite #100
Las Vegas NV 89121-3608
Phone: (702) 731-1616
Fax: (702) 734-4900
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 13524 | Nevada |
Profile Details
NPI number | 1659583375 |
---|---|
LBN Legal business name | Hanson, Chad Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2007 |
Last updated | Oct 9th, 2018 - about 7 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 | 1659583375 | NPPES |
Nevada | MEDICAID | 1659583375 | |
Nevada | Other | DI949Z |
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