Hanson, Renee Christine
Hanson, Renee Christine is an individual health care provider with primary practice located at 220 S 63Rd St , Mesa AZ 85206-1619. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Hanson, Renee Christine can be contacted via phone (480) 641-3937.Contact Information
Primary practice address
220 S 63Rd St
Mesa AZ 85206-1619
Phone: (480) 641-3937
Fax: (480) 924-5094
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 12467 TPL | California |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | 12467 TPL | California |
Eye and Vision Services Providers / Optometrist | 152W00000X | 2318 | Arizona |
Profile Details
NPI number | 1881719540 |
---|---|
LBN Legal business name | Hanson, Renee Christine |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2007 |
Last updated | Apr 21st, 2020 - about 5 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 | 1881719540 | NPPES |
California | Other | 12467TPL | STATE LICENSE |
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