Hanson, Susan Janelle
Hanson, Susan Janelle is an individual health care provider with primary practice located at 1707 Gold Dr , Fargo ND 58103-6413. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Hanson, Susan Janelle can be contacted via phone (701) 280-2033.Contact Information
Primary practice address
1707 Gold Dr
Fargo ND 58103-6413
Phone: (701) 280-2033
Fax: (701) 232-5578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PAC0312 | North Dakota |
Profile Details
| NPI number | 1114966751 |
|---|---|
| LBN Legal business name | Hanson, Susan Janelle |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Apr 5th, 2019 - about 7 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 | 1114966751 | NPPES |
| North Dakota | MEDICAID | 11277 | |
| North Dakota | Other | 2303752 | |
| North Dakota | Other | 24823 | |
| North Dakota | Other | Q25266 | |
| North Dakota | Other | P50714 | |
| North Dakota | Other | 01-19213 | |
| North Dakota | Other | HN10910428 |
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