# DR. DAVID J. HANSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790779171
- **Gender:** Man
- **Credential:** DC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4056 | CO | Yes |
| 111N00000X | Chiropractor | 757CHI-INACTIVE | MT | — |

## Other

- **Enumeration date:** 08/31/2005
- **Last updated:** 07/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1518160365 | GROUP NPI | CO |