Hansen, Craig L

Hansen, Craig L is an individual health care provider with primary practice located at 1 Edmundson Pl Ste 200 , Council Bluffs IA 51503-4658. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Hansen, Craig L can be contacted via phone (712) 396-4020.

Contact Information

Primary practice address
1 Edmundson Pl Ste 200 Council Bluffs IA 51503-4658
Phone: (712) 396-4020
Fax: (712) 396-4025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X MD-34632 Iowa
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD-34632 Iowa
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 22247 Nebraska
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 22247 Nebraska

Profile Details

NPI number 1659363182
LBN Legal business name Hansen, Craig L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Jun 23rd, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659363182 NPPES
Iowa MEDICAID 3266114
Iowa MEDICAID 1266114
Iowa MEDICAID 4266114
Iowa MEDICAID 5266114
Iowa Other 31117

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