Hanson, Mary

Hanson, Mary is an individual health care provider with primary practice located at 1 Pearl St Ste 1400, Brockton MA 02301-2864. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hanson, Mary can be contacted via phone (508) 897-6030.

Contact Information

Primary practice address
1 Pearl St Ste 1400 Brockton MA 02301-2864
Phone: (508) 897-6030
Fax: (508) 897-6015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 206301 Massachusetts

Profile Details

NPI number 1740275650
LBN Legal business name Hanson, Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
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 1740275650 NPPES
Massachusetts MEDICAID 0706400

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