Hanson, Elizabeth J

Hanson, Elizabeth J is an sole proprietor health care provider with primary practice located at 1716 Fordem Ave , Madison WI 53704-4604. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Hanson, Elizabeth J can be contacted via phone (608) 221-3511.

Contact Information

Primary practice address
1716 Fordem Ave Madison WI 53704-4604
Phone: (608) 221-3511
Fax: (608) 221-3514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 950-124 Wisconsin

Profile Details

NPI number 1316343361
LBN Legal business name Hanson, Elizabeth J
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2014
Last updated Jan 4th, 2021 - about 5 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 1316343361 NPPES
Wisconsin MEDICAID 1316343361

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