Hanson, Thomas L
Hanson, Thomas L is an sole proprietor health care provider with primary practice located at 2023 S 17Th St , Wilmington NC 28401-6600. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Hanson, Thomas L can be contacted via phone (910) 251-6440.Contact Information
Primary practice address
2023 S 17Th St
Wilmington NC 28401-6600
Phone: (910) 251-6440
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 734 | North Carolina |
Profile Details
NPI number | 1245364918 |
---|---|
LBN Legal business name | Hanson, Thomas L |
Credentials | LCAS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 15th, 2007 |
Last updated | Jul 9th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245364918 | NPPES |
North Carolina | MEDICAID | 6111799 |
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