Hanson, Rita Marie
Hanson, Rita Marie is an individual health care provider with primary practice located at 13950 W Capitol Dr , Brookfield WI 53005-2441. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Hanson, Rita Marie can be contacted via phone (414) 302-5404.Contact Information
Primary practice address
13950 W Capitol Dr
Brookfield WI 53005-2441
Phone: (414) 302-5404
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20894 | Wisconsin |
Profile Details
| NPI number | 1629135306 |
|---|---|
| LBN Legal business name | Hanson, Rita Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Aug 30th, 2010 - about 14 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 | 1629135306 | NPPES |
| Wisconsin | MEDICAID | 30266500 | |
| Wisconsin | Other | 3908168571A4 |
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