Hanson, Jean Sullivan
Hanson, Jean Sullivan is an sole proprietor health care provider with primary practice located at 130 Centre St Wadsworth Village, Hathorne House, #2, Danvers MA 01923-1400. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hanson, Jean Sullivan can be contacted via phone (978) 777-0810.Contact Information
Primary practice address
130 Centre St Wadsworth Village, Hathorne House, #2
Danvers MA 01923-1400
Phone: (978) 777-0810
Fax: (978) 777-0889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6389 | Massachusetts |
Profile Details
| NPI number | 1477621753 |
|---|---|
| LBN Legal business name | Hanson, Jean Sullivan |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2006 |
| Last updated | May 24th, 2021 - about 3 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 | 1477621753 | NPPES |
| Massachusetts | Other | W06383 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 779620-000 | BLUE CROSS BLUE SHIELD |
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