Hanson, Michael Lee

Hanson, Michael Lee is an individual health care provider with primary practice located at 2643 Patterson Rd Suite 503, Grand Junction CO 81506-1953. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hanson, Michael Lee can be contacted via phone (970) 245-2400.

Contact Information

Primary practice address
2643 Patterson Rd Suite 503 Grand Junction CO 81506-1953
Phone: (970) 245-2400
Fax: (970) 242-9092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1622 Colorado

Profile Details

NPI number 1033104799
LBN Legal business name Hanson, Michael Lee
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Sep 16th, 2016 - about 8 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 1033104799 NPPES
Colorado MEDICAID 31629814

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