Hanssen, Gaylord Harold

Hanssen, Gaylord Harold is an individual health care provider with primary practice located at 706 W 4Th St , Grand Island NE 68801-4529. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Hanssen, Gaylord Harold can be contacted via phone (308) 382-7470.

Contact Information

Primary practice address
706 W 4Th St Grand Island NE 68801-4529
Phone: (308) 382-7470
Fax: (308) 382-9398
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 894 Nebraska

Profile Details

NPI number 1174571012
LBN Legal business name Hanssen, Gaylord Harold
Credentials D.C. F.I.A.C.A.
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 8th, 2007 - about 19 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 1174571012 NPPES
Nebraska MEDICAID 47076250613

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