Mildred S Hanson Md Pa

LBN: Mildred S Hanson Md Pa
Mildred S Hanson Md Pa is an health care organization with primary practice located at 710 E 24Th St Ste 403 , Minneapolis MN 55404-3827. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mildred S Hanson Md Pa can be contacted via phone (612) 870-1334, or through Hanson, Marilee A via phone (612) 870-1334.

Contact Information

Primary practice address
710 E 24Th St Ste 403 Minneapolis MN 55404-3827
Fax: (612) 871-0864
Website:
Authorized official contact:
Name: Hanson, Marilee A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 320 Minnesota

Profile Details

NPI number 1184822330
LBN Legal business name Mildred S Hanson Md Pa
DBA Doing business as
Authorized official Hanson, Marilee A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2007
Last updated Sep 12th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184822330 NPPES
Minnesota Other C03252 MEDICARE BILLING GROUP NU
Minnesota Other 3118 MEDICARE BILLING GROUP NU
Minnesota MEDICAID 225968100 MEDICARE BILLING GROUP NU
Minnesota Other 06521HA MEDICARE BILLING GROUP NU

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