Allen S. Hanson, MD
Individual provider Active NPI Emergency Medicine Physician · Ladysmith, WI
NPI 1215907613 · NPPES record last updated Jan 26, 2011
Key facts
- NPI
- 1215907613
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 22203 (WI)
- Practice address
- 906 College Ave W
Ladysmith, WI 54848-2116 - Phone
- (715) 532-2300
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22203 | WY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NW Wisconsin Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 22203 | WY | |
| Emergency Medicine Physician | 207P00000X | 22203 | WI | Yes |
| Family Medicine Physician | 207Q00000X | 22203 | WI |
Addresses
Primary practice location
906 College Ave W
Ladysmith, WI 54848-2116
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APPR | Medicaid | WI |
Other providers in Ladysmith, WI
- Allison Michelle Golat-Hattamer
- Karrie Louise Groothousen
- Amber Rene Hall
- Ernest L Hall
- Jon E Hamel
- Patricia A Hautamaki
- Sheila Patricia Heiser
- Frank Herbes
- Imperium Chiropractic SC
- Indianhead Community Action Agency Incorporated
All providers in Ladysmith, WI · Emergency Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.