Hanson, David Jerome
Hanson, David Jerome is an sole proprietor health care provider with primary practice located at 2829 University S Dr , Fargo ND 58103-6050. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Hanson, David Jerome can be contacted via phone (701) 404-9909.Contact Information
Primary practice address
2829 University S Dr
Fargo ND 58103-6050
Phone: (701) 404-9909
Fax: (877) 813-3081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 44547 | Minnesota |
Profile Details
| NPI number | 1932262474 |
|---|---|
| LBN Legal business name | Hanson, David Jerome |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jul 13th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932262474 | NPPES |
| Minnesota | MEDICAID | 660038700 |
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