Hansen, Serena

Hansen, Serena is an individual health care provider with primary practice located at 1201 12Th Ave Sw , Le Mars IA 51031-3055. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Hansen, Serena can be contacted via phone (712) 548-4503.

Contact Information

Primary practice address
1201 12Th Ave Sw Le Mars IA 51031-3055
Phone: (712) 548-4503
Fax: (712) 546-4463
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 22456 Iowa

Profile Details

NPI number 1154960078
LBN Legal business name Hansen, Serena
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2019
Last updated Dec 23rd, 2019 - about 4 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 1154960078 NPPES
Iowa MEDICAID 22456

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