Hanson, Robert Wayne

Hanson, Robert Wayne is an sole proprietor health care provider with primary practice located at 4150 Jefferson St , Napa CA 94558-1853. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Hanson, Robert Wayne can be contacted via phone (707) 254-7249.

Contact Information

Primary practice address
4150 Jefferson St Napa CA 94558-1853
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 21581 California

Profile Details

NPI number 1245363779
LBN Legal business name Hanson, Robert Wayne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2007
Last updated Jul 8th, 2007 - about 17 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 1245363779 NPPES
California Other 21581 STATE LICENSE NUMBER

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