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Contact Information

RYAN HANSELMAN
435 N MCDOWELL BLVD
PETALUMA, CA94954-2339
 Phone: 707-863-0228
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist

225500000X
Indicates primary specialty

NPI Profile & details for RYAN HANSELMAN · (Female)

NPI # 1083571848
Status Active
Credentials
Entity Individual
Enumeration date 01/05/2026
Last updated 01/05/2026 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # L10106
  • CA Other L10106 BARBERCOSMO.CA.GOV
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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