Individual
DR. ZACHARY HENRY LEE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 20TH ST, HUNTINGTON, WV 25703-1850
(304) 696-8700
(304) 696-8701
Mailing address
1600 MEDICAL CENTER DR, HUNTINGTON, WV 25701-3656
(304) 691-1100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22055
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001709560
MT. STATE
WV
01
—
00427034
RR MEDICARE
WV
05
—
2657807
—
OH
05
—
3810005341
—
WV
05
—
64127509
—
KY
Enumeration date
06/08/2006
Last updated
01/01/2022
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