Hanson, Suzanne M
Hanson, Suzanne M is an individual health care provider with primary practice located at 11 Garvey Pkwy , Saint Charles MO 63303-5614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hanson, Suzanne M can be contacted via phone (636) 441-7280.Contact Information
Primary practice address
11 Garvey Pkwy
Saint Charles MO 63303-5614
Phone: (636) 441-7280
Fax: (636) 939-9208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 103880 | Missouri |
Profile Details
| NPI number | 1598728289 |
|---|---|
| LBN Legal business name | Hanson, Suzanne M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | May 9th, 2024 - about 4 months 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 | 1598728289 | NPPES |
| Missouri | MEDICAID | 200003391 |
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