Hanson, Jerome T

Hanson, Jerome T is an individual health care provider with primary practice located at 2424 S 90Th St Suite 306, West Allis WI 53227-2455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Hanson, Jerome T can be contacted via phone (414) 328-8750.

Contact Information

Primary practice address
2424 S 90Th St Suite 306 West Allis WI 53227-2455
Phone: (414) 328-8750
Fax: (414) 328-8751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 19476 Wisconsin

Profile Details

NPI number 1215999065
LBN Legal business name Hanson, Jerome T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Dec 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215999065 NPPES
Wisconsin MEDICAID 30199600
Wisconsin Other P00734833

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