Hansonhealth Llc | |
630 15th Ave Suite 102 Longmont CO 80501-2700 | |
(720) 494-1525 | |
(303) 651-2556 |
Full Name | Hansonhealth Llc |
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Speciality | Clinic/Center |
Location | 630 15th Ave, Longmont, Colorado |
Authorized Official Name and Position | Jason Hanson (OWNER) |
Authorized Official Contact | 7204941525 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hansonhealth Llc 630 15th Ave Suite 102 Longmont CO 80501-2700 Ph: (720) 494-1525 | Hansonhealth Llc 630 15th Ave Suite 102 Longmont CO 80501-2700 Ph: (720) 494-1525 |
NPI Number | 1235371311 |
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Provider Enumeration Date | 04/03/2009 |
Last Update Date | 04/03/2009 |
Medicare PECOS PAC ID | 0446307003 |
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Medicare Enrollment ID | O20090416000586 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235371311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 6315 (Colorado) | Primary |
Provider Name | Jason L Hanson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1437394152 PECOS PAC ID: 7810044476 Enrollment ID: I20090416000572 |
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