Hanson, Emily D

Hanson, Emily D is an individual health care provider with primary practice located at 19 E Shawnee Dr Ste 2 , Murphysboro IL 62966-7072. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hanson, Emily D can be contacted via phone (618) 684-2172.

Contact Information

Primary practice address
19 E Shawnee Dr Ste 2 Murphysboro IL 62966-7072
Phone: (618) 684-2172
Fax: (618) 687-4480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036107935 Illinois

Profile Details

NPI number 1023083748
LBN Legal business name Hanson, Emily D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Nov 3rd, 2020 - about 4 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 1023083748 NPPES
Illinois Other 7210895 AETNA
Illinois MEDICAID 036107935 AETNA
Illinois Other 3932056 AETNA

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