Hansen, Travis D.
Hansen, Travis D. is an individual health care provider with primary practice located at 1400 Madison Ave Suite352, Mankato MN 56001-5473. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Hansen, Travis D. can be contacted via phone (507) 625-1811.Contact Information
Primary practice address
1400 Madison Ave Suite352
Mankato MN 56001-5473
Phone: (507) 625-1811
Fax: (507) 625-3928
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | #5696 | South Dakota |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 56902 | Minnesota |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 56902 | Minnesota |
Profile Details
| NPI number | 1164558151 |
|---|---|
| LBN Legal business name | Hansen, Travis D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jul 10th, 2020 - about 5 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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