Hanson, Thomas S

Hanson, Thomas S is an sole proprietor health care provider with primary practice located at 1 Memorial Dr , Alton IL 62002-6755. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Hanson, Thomas S can be contacted via phone (618) 463-7311.

Contact Information

Primary practice address
1 Memorial Dr Alton IL 62002-6755
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-090592 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-090592 Illinois

Profile Details

NPI number 1528004777
LBN Legal business name Hanson, Thomas S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2006
Last updated Mar 10th, 2021 - about 4 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 1528004777 NPPES
Illinois Other 08232204 BLUE CROSS BLUE SHIELD
Illinois Other 06032182 BLUE CROSS BLUE SHIELD
Illinois Other 08232205 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036090592 BLUE CROSS BLUE SHIELD
Illinois Other 0008232117 BLUE CROSS BLUE SHIELD

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