Hansen, Bryant
Hansen, Bryant is an individual health care provider with primary practice located at 72 S 1St E Ste 101 , Rexburg ID 83440-1965. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hansen, Bryant can be contacted via phone (208) 356-4900.Contact Information
Primary practice address
72 S 1St E Ste 101
Rexburg ID 83440-1965
Phone: (208) 356-4900
Fax: (208) 356-3724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-1148 | Idaho |
Profile Details
| NPI number | 1669897989 |
|---|---|
| LBN Legal business name | Hansen, Bryant |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2014 |
| Last updated | Mar 11th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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