Healthcare Provider Details

I. General information

NPI: 1750368197
Provider Name (Legal Business Name): HANS CHRISTIAN HANSEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 11/09/2025
Certification Date: 12/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1224 COMMERCE ST SW
CONOVER NC
28613-8249
US

IV. Provider business mailing address

PO BOX 302
BRYSON CITY NC
28713-0302
US

V. Phone/Fax

Practice location:
  • Phone: 828-261-0467
  • Fax: 828-267-0599
Mailing address:
  • Phone: 828-585-3445
  • Fax: 828-538-4441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number39278
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207LA0401X
TaxonomyAddiction Medicine (Anesthesiology) Physician
License Number2014459
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number20163
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number39278
License Number StateNC
# 5
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number39278
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: