Gregory K. Hansen, Inc. | |
8915 S 700 E, Ste. 201, Sandy, UT 84070-2417 | |
(801) 619-1439 | |
Not Available |
Full Name | Gregory K. Hansen, Inc. |
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Type | Facility |
Speciality | Chiropractor |
Location | 8915 S 700 E, Sandy, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275719486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 5013341202 (Utah) | Primary |
Provider Name | Gregory K Hansen |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1275602724 PECOS PAC ID: 9234186685 Enrollment ID: I20050408000591 |
Mailing Address | Practice Location Address |
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Gregory K. Hansen, Inc. 8915 S 700 E, Ste. 201, Sandy, UT 84070-2417 Ph: (801) 619-1439 | Gregory K. Hansen, Inc. 8915 S 700 E, Ste. 201, Sandy, UT 84070-2417 Ph: (801) 619-1439 |
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