Hansen, Lynn A
Hansen, Lynn A is an sole proprietor health care provider with primary practice located at 1210 Oakley Ave , Burley ID 83318-1840. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Hansen, Lynn A can be contacted via phone (208) 878-2273.Contact Information
Primary practice address
1210 Oakley Ave
Burley ID 83318-1840
Phone: (208) 878-2273
Fax: (208) 878-2275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA936 | Idaho |
Profile Details
| NPI number | 1255318739 |
|---|---|
| LBN Legal business name | Hansen, Lynn A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Mar 4th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255318739 | NPPES |
| Idaho | Other | C1450 | BLUE CROSS |
| Idaho | Other | 000010027304 | BLUE CROSS |
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