Hanson, Dwayne N

Hanson, Dwayne N is an individual health care provider with primary practice located at 15921 Noble Point Dr , Anchorage AK 99516-7548. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Hanson, Dwayne N can be contacted via phone (907) 332-5283.

Contact Information

Primary practice address
15921 Noble Point Dr Anchorage AK 99516-7548
Fax: (907) 332-5283
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1972628444
LBN Legal business name Hanson, Dwayne N
Credentials MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 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 1972628444 NPPES
Alaska MEDICAID CM4321

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