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Contact Information

ERIC C HANSEN, MD
150 ARROWHEAD DRIVE
STE 2
EVANSTON, WY82930
 Phone: 307-789-8881
 Fax: 307-789-6470
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ERIC C HANSEN · (Male)

NPI # 1366500449
Status Active
Credentials MD
Entity Individual
Enumeration date 12/04/2006
Last updated 06/07/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • WY License # 6429A
  • WY Medicaid 119741000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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