Hanson, Mark H
Hanson, Mark H is an individual health care provider with primary practice located at 2000 Shady Lane , Green Bay WI 54313-9311. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Hanson, Mark H can be contacted via phone (920) 499-3721.Contact Information
Primary practice address
2000 Shady Lane
Green Bay WI 54313-9311
Phone: (920) 499-3721
Fax: (920) 499-7502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 5446 015 | Wisconsin |
Profile Details
| NPI number | 1760551857 |
|---|---|
| LBN Legal business name | Hanson, Mark H |
| Credentials | DDS MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Dec 9th, 2015 - about 10 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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