Hanson, Michael W

Hanson, Michael W is an individual health care provider with primary practice located at 4101 N Roxboro St , Durham NC 27704-2121. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Hanson, Michael W can be contacted via phone (919) 684-8111.

Contact Information

Primary practice address
4101 N Roxboro St Durham NC 27704-2121
Phone: (919) 684-8111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 31140 North Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 31140 North Carolina

Profile Details

NPI number 1417043860
LBN Legal business name Hanson, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 2007 - about 18 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 1417043860 NPPES
North Carolina MEDICAID 8939089

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