| Hansonhealth LLC | |
|
630 15th Ave Suite 102 Longmont CO 80501-2700 | |
| (720) 494-1525 | |
| (303) 651-2556 |
| Full Name | Hansonhealth LLC |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 04/03/2009 |
| Last Update Date | 04/03/2009 |
| Medicare PECOS PAC ID | 0446307003 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437394152 PECOS PAC ID: 7810044476 Enrollment ID: I20090416000572 |
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