Hanson, Kenneth Charles

Hanson, Kenneth Charles is an individual health care provider with primary practice located at 802 W King St Ste Q, Owosso MI 48867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Hanson, Kenneth Charles can be contacted via phone (989) 723-7619.

Contact Information

Primary practice address
802 W King St Ste Q Owosso MI 48867
Phone: (989) 723-7619
Fax: (989) 723-0090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4301027519 Michigan

Profile Details

NPI number 1225140437
LBN Legal business name Hanson, Kenneth Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 2007 - about 17 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 1225140437 NPPES
Michigan MEDICAID 1097184
Michigan Other 1007800511

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