Hanson, Beverly

Hanson, Beverly is an individual health care provider with primary practice located at 98 Poplar St , Blackfoot ID 83221-1758. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Hanson, Beverly can be contacted via phone (208) 782-3993.

Contact Information

Primary practice address
98 Poplar St Blackfoot ID 83221-1758
Phone: (208) 782-3993
Fax: (208) 782-3994
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PAG-012 Idaho

Profile Details

NPI number 1003874389
LBN Legal business name Hanson, Beverly
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Sep 9th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003874389 NPPES
Idaho Other 000010167603 RBS LAMERE
Idaho Other HPAC6 RBS LAMERE
Idaho Other PAJ80 RBS LAMERE
Idaho Other 000010154328 RBS LAMERE
Idaho Other HB405 RBS LAMERE
Idaho MEDICAID 807338600 RBS LAMERE

Popular Providers