Hanson, Thomas L

Hanson, Thomas L is an individual health care provider with primary practice located at 100 4Th St S Ste 612 , Fargo ND 58103-1940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Hanson, Thomas L can be contacted via phone (701) 235-0561.

Contact Information

Primary practice address
100 4Th St S Ste 612 Fargo ND 58103-1940
Phone: (701) 235-0561
Fax: (701) 235-0330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4870 North Dakota
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 29226 Minnesota

Profile Details

NPI number 1982792297
LBN Legal business name Hanson, Thomas L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jul 8th, 2007 - about 18 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 1982792297 NPPES
North Dakota Other 11357 BLUE SHIELD
North Dakota Other 2M042HA BLUE SHIELD
North Dakota MEDICAID 14255 BLUE SHIELD
North Dakota Other 892822 BLUE SHIELD

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