Hansen, Stephen M

Hansen, Stephen M is an individual health care provider with primary practice located at 950 Hospital Way Ste A , Pocatello ID 83201-2762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Hansen, Stephen M can be contacted via phone (208) 478-4522.

Contact Information

Primary practice address
950 Hospital Way Ste A Pocatello ID 83201-2762
Phone: (208) 478-4522
Fax: (208) 712-6868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 7102972-1205 Utah
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X M-11666 Idaho

Profile Details

NPI number 1164491460
LBN Legal business name Hansen, Stephen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Aug 31st, 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 1164491460 NPPES
Washington MEDICAID 8425670

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