Hanson, Nicholas Gary
Hanson, Nicholas Gary is an individual health care provider with primary practice located at 24 S 1100 E Ste 310 , Slc UT 84102-1500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hanson, Nicholas Gary can be contacted via phone (801) 328-1260.Contact Information
Primary practice address
24 S 1100 E Ste 310
Slc UT 84102-1500
Phone: (801) 328-1260
Fax: (801) 350-4361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 84392901205 | Utah |
Profile Details
| NPI number | 1710149794 |
|---|---|
| LBN Legal business name | Hanson, Nicholas Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2008 |
| Last updated | Jan 12th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710149794 | NPPES |
| Other | 10161981 | PHYSICIANS DOB |
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