Hanson, Jeremy Ryan

Hanson, Jeremy Ryan is an individual health care provider with primary practice located at 451 Clarkson Ave Bldg E , Brooklyn NY 11203-2054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Hanson, Jeremy Ryan can be contacted via phone (718) 245-3131.

Contact Information

Primary practice address
451 Clarkson Ave Bldg E Brooklyn NY 11203-2054
Phone: (718) 245-3131
Fax: (718) 245-3687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 291797 New York

Profile Details

NPI number 1194186130
LBN Legal business name Hanson, Jeremy Ryan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2016
Last updated Nov 24th, 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 1194186130 NPPES
New York MEDICAID 05994165

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