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NPI Code Detail

MEDICARE: EDWARD LEWIS HANSEN D.C.

MEDICARE: EDWARD LEWIS HANSEN D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH0003098WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285708750
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD LEWIS HANSEN D.C.
Provider Business Mailing Address
First Line : 2000 N STATE ST
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-4218
Country : US
Telephone Number : 360-671-1710
Fax Number : 360-671-1605
Provider Business Practice Location Address
First Line : 2000 N STATE ST
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-4218
Country : US
Telephone Number : 360-671-1710
Fax Number : 360-671-1605
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 07/08/2007

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Directions to “ EDWARD LEWIS HANSEN D.C.” Practice Location

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