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Contact Information

ADAM J HANSEN, MD
527 MEDICAL PARK DR STE 205
BRIDGEPORT, WV26330-9009
 Phone: 681-342-3730
 Fax: 304-842-9422
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ADAM J HANSEN · (Male)

NPI Number 1134193840
Status Active
Credentials MD
Entity Individual
Enumeration date 02/17/2006
Last updated 04/05/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 28899
  • WV License # 25201
  • AZ Medicaid 812976
  • WV Other WV2677A MEDICARE PTAN
Hospital affiliation(s)
  • UNITED HOSPITAL CENTER - (Acute Care)
    327 MEDICAL PARK DRIVE
    BRIDGEPORT, WV 26330
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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