Dwayne M. Hansen Md Pllc

LBN: Dwayne M. Hansen Md Pllc
Dwayne M. Hansen Md Pllc is an health care organization with primary practice located at 381 East 4Th North Street Suite 100, Rexburg ID 83440. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Dwayne M. Hansen Md Pllc can be contacted via phone (208) 656-8442, or through Hansen, Dwayne M. via phone (208) 656-8442.

Contact Information

Primary practice address
381 East 4Th North Street Suite 100 Rexburg ID 83440
Phone: (208) 656-8442
Fax: (208) 656-8453
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Dwayne M. Doctor of Medicine (MD)
Phone: (208) 656-8442

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1114024650
LBN Legal business name Dwayne M. Hansen Md Pllc
DBA Doing business as
Authorized official Hansen, Dwayne M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2006
Last updated Dec 6th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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