Hanson, Timothy

Hanson, Timothy is an sole proprietor health care provider with primary practice located at 519 Karl Dr , Richmond Heights OH 44143-2543. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Hanson, Timothy can be contacted via phone (216) 486-5135.

Contact Information

Primary practice address
519 Karl Dr Richmond Heights OH 44143-2543
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1023423316
LBN Legal business name Hanson, Timothy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2014
Last updated Jun 25th, 2014 - about 10 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 1023423316 NPPES
Ohio MEDICAID 0058141

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