MEDICARE: GEORGE H HANSEN MD

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
1	207Q00000X	Family Medicine Physician	20384	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	6627	OTHER		MIDLANDS CHOICE
3	32031	OTHER	NE	BCBS
4	01-00831	OTHER	NE	UHC

General Provider Information

NPI Number	:	1710994330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE H HANSEN MD

Provider Business Mailing Address
First Line	:	2000 Q ST
Second Line	:	STE 500
City	:	LINCOLN
State	:	NE
Zip	:	68503-3610
Country	:	US
Telephone Number	:	402-421-0896
Fax Number	:	402-421-0946

Provider Business Practice Location Address
First Line	:	5000 N 26TH ST
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68521-4749
Country	:	US
Telephone Number	:	402-435-5300
Fax Number	:	402-435-5511

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	07/18/2017

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Directions to “ GEORGE H HANSEN MD” Practice Location

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