| Hanson Chiropractic Clinic Pa | |
|
306 North Mill Street, Fertile, MN 56540-0555 | |
| (218) 945-3220 | |
| (218) 945-3220 |
| Full Name | Hanson Chiropractic Clinic Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 306 North Mill Street, Fertile, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477589141 | NPI | - | NPPES |
| 19806 | Other | ND | BC OF NORTH DAKOTA |
| 1H004HA | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2832 (Minnesota) | Primary |
| Provider Name | Dennis Duane Hanson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023045945 PECOS PAC ID: 9436101136 Enrollment ID: I20050210000427 |
| Provider Name | Noah Jack Hanson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396336434 PECOS PAC ID: 7113331992 Enrollment ID: I20210208001063 |
| Mailing Address | Practice Location Address |
|---|---|
| Hanson Chiropractic Clinic Pa 306 North Mill Street, Fertile, MN 56540-0555 Ph: (218) 945-3220 | Hanson Chiropractic Clinic Pa 306 North Mill Street, Fertile, MN 56540-0555 Ph: (218) 945-3220 |
Mr. Dennis D Hanson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 306 North Mill Street, Fertile, MN 56540 Phone: 218-945-3220 Fax: 218-945-3220 | |
Noah Jack Hanson, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 306 N Mill St, Fertile, MN 56540 Phone: 218-945-3220 |